Healthcare Provider Details

I. General information

NPI: 1619880879
Provider Name (Legal Business Name): KIND NURSING PSYCHIATRY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 HARBOR BLVD FL 2
COSTA MESA CA
92626-1502
US

IV. Provider business mailing address

3330 HARBOR BLVD FL 2 PWB#17664458
COSTA MESA CA
92626-1502
US

V. Phone/Fax

Practice location:
  • Phone: 949-264-2554
  • Fax:
Mailing address:
  • Phone: 949-264-2554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: SYLVIA GUTHRIE
Title or Position: MENTAL HEALTH NURSE PRACTITIONER
Credential: PMHNP-BC
Phone: 949-264-2554