Healthcare Provider Details

I. General information

NPI: 1548910151
Provider Name (Legal Business Name): INTEGRATIVE BEHAVIORAL HEALTH & MEDICINE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2022
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4546 EL CAMINO REAL STE B7
LOS ALTOS CA
94022-1069
US

IV. Provider business mailing address

4546 EL CAMINO REAL STE B7
LOS ALTOS CA
94022-1069
US

V. Phone/Fax

Practice location:
  • Phone: 866-362-4246
  • Fax:
Mailing address:
  • Phone: 866-362-4246
  • Fax: 650-260-6030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. VIDUSHI SAVANT
Title or Position: CEO
Credential:
Phone: 866-362-4246