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NPI Code Detail

MEDICARE: GABRIELLE CARTER, PMHNP-BC, PSYCHIATRIC NURSING PRACTITIONER, PROFESSIONAL CORPORATION

MEDICARE: GABRIELLE CARTER, PMHNP-BC, PSYCHIATRIC NURSING PRACTITIONER, PROFESSIONAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1457203903
Entity Type Code : Organization
Provider Name (Legal Business Name) : GABRIELLE CARTER, PMHNP-BC, PSYCHIATRIC NURSING PRACTITIONER, PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : 5319 UNIVERSITY DR UNIT 10100
Second Line :
City : IRVINE
State : CA
Zip : 92612-2965
Country : US
Telephone Number : 949-996-0981
Fax Number : 855-710-6676
Provider Business Practice Location Address
First Line : 2801 MAIN ST APT 320
Second Line :
City : IRVINE
State : CA
Zip : 92614-5012
Country : US
Telephone Number : 949-996-0981
Fax Number : 855-710-6676
Authorized Official
Title or Position : PRESIDENT
Name : GABRIELLE CARTER
Credential : PMHNP-BC
Telephone Number : 949-996-0981
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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