Healthcare Provider Details

I. General information

NPI: 1437009487
Provider Name (Legal Business Name): HUMANISTIC PSYCHIATRY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2026
Last Update Date: 01/30/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4473 PROSPECT AVE
YORBA LINDA CA
92886-2139
US

IV. Provider business mailing address

4473 PROSPECT AVE
YORBA LINDA CA
92886-2139
US

V. Phone/Fax

Practice location:
  • Phone: 808-772-7222
  • Fax:
Mailing address:
  • Phone: 808-772-7222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ABIGAIL LANDENBERGER
Title or Position: CFO
Credential: DO
Phone: 808-798-1628