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NPI Code Detail

MEDICARE: PSYCHIATRIC NURSING GROUP, INC.

MEDICARE: PSYCHIATRIC NURSING GROUP, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1215758321
Entity Type Code : Organization
Provider Name (Legal Business Name) : PSYCHIATRIC NURSING GROUP, INC.
Provider Business Mailing Address
First Line : 2342 APPLE TREE DR
Second Line :
City : TUSTIN
State : CA
Zip : 92780-7109
Country : US
Telephone Number : 949-620-6906
Fax Number :
Provider Business Practice Location Address
First Line : 2607 WILLO LN
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-4645
Country : US
Telephone Number : 949-620-6906
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : RACHEL ROSENBAUM
Credential : PMHNP
Telephone Number : 949-620-6906
Provider Enumeration Date : 10/21/2024
Last Update Date : 03/25/2026

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