Healthcare Provider Details

I. General information

NPI: 1992663108
Provider Name (Legal Business Name): NOBU PSYCHIATRY AND MENTAL HEALTH NURSING APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16400 VENTURA BLVD STE 323
ENCINO CA
91436-2187
US

IV. Provider business mailing address

16400 VENTURA BLVD STE 323
ENCINO CA
91436-2187
US

V. Phone/Fax

Practice location:
  • Phone: 747-261-8910
  • Fax: 800-398-5806
Mailing address:
  • Phone: 747-261-8910
  • Fax: 800-398-5806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MESHYLLE MARTIN-FERIDO
Title or Position: PRACTICE OWNER
Credential:
Phone: 747-261-8910