Healthcare Provider Details

I. General information

NPI: 1700772605
Provider Name (Legal Business Name): ENFOCUS PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 06/16/2025
Certification Date: 06/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20072 FENSIDE XING
WESTFIELD IN
46074-0399
US

IV. Provider business mailing address

3250A W 86TH ST
INDIANAPOLIS IN
46268-3605
US

V. Phone/Fax

Practice location:
  • Phone: 323-533-1999
  • Fax:
Mailing address:
  • Phone: 323-533-1999
  • Fax:

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: NICKOLAS E FALANGAS
Title or Position: OWNER / PMHNP
Credential: PMHNP-BC
Phone: 323-533-1999