Healthcare Provider Details

I. General information

NPI: 1093276149
Provider Name (Legal Business Name): PHEBEE WILLIAM PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2019
Last Update Date: 05/22/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

473 EAST CARNEGIE DRIVE SUITE 200
SAN BERNARDINO CA
92408-4201
US

IV. Provider business mailing address

1853 PEARLAND PRWY SUITE 123 PMB 1040
PEARLAND TX
77581
US

V. Phone/Fax

Practice location:
  • Phone: 888-516-0397
  • Fax: 949-288-0280
Mailing address:
  • Phone: 888-516-0397
  • Fax: 949-288-0280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number402619
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number711796
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: