MEDICARE: HUMANISTIC PSYCHIATRY, 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
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1437009487
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUMANISTIC PSYCHIATRY, INC.

Provider Business Mailing Address
First Line	:	4473 PROSPECT AVE
Second Line	:
City	:	YORBA LINDA
State	:	CA
Zip	:	92886-2139
Country	:	US
Telephone Number	:	808-772-7222
Fax Number	:

Provider Business Practice Location Address
First Line	:	4473 PROSPECT AVE
Second Line	:
City	:	YORBA LINDA
State	:	CA
Zip	:	92886-2139
Country	:	US
Telephone Number	:	808-772-7222
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	ABIGAIL LANDENBERGER
Credential	:	DO
Telephone Number	:	808-798-1628

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

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