OCHCA Logo

Provider Directory

Printed Date: 07/05/2026

Population Characteristics
Outpatient Medication Management Services & Outpatient Psychotherapy Services
Medi-Cal Specialty Mental Health Services for Orange County’s Outpatient Medication Management Services and Outpatient Psychotherapy Services - Authorization is required before seeing the following providers. For authorization to see these providers and/or to determine if these Providers are accepting new patients, please call (800) 723-8641
Populations Served
Medi-Cal members 18 years + who suffer from a mental disorder and meet medical necessity criteria for specialty mental health services.

ADVANTAGE NEUROPSYCHIATRIC ASSOC

1010 W CHAPMAN AVE
ORANGE, CA 92868-2847
Phone - (714) 633-4300
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95028555
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - None
Populations Served - None

AMIDON, ROBIN

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1275303570
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - None
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

ADVANTAGE NEUROPSYCHIATRIC ASSOC

1010 W CHAPMAN AVE
ORANGE, CA 92868-2847
Phone - (714) 633-4300
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95003992
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - None
Populations Served - None

ANKER, YEN

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1104273309
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - None
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

ADVANTAGE NEUROPSYCHIATRIC ASSOC

1010 W CHAPMAN AVE
ORANGE, CA 92868-2847
Phone - (714) 633-4300
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95019380
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - None
Populations Served - None

BALCITA, GEMMA

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1750033155
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - None
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

ADVANTAGE NEUROPSYCHIATRIC ASSOC

1010 W CHAPMAN AVE
ORANGE, CA 92868-2847
Phone - (714) 633-4300
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95022370
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - None
Populations Served - None

CHANG, DANIEL

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1922727353
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - None
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

ADVANTAGE NEUROPSYCHIATRIC ASSOC

1010 W CHAPMAN AVE
ORANGE, CA 92868-2847
Phone - (714) 633-4300
Type of Licensure - Physician
Service Type - Mental Health Services
License/Credential # - A48624
Accept New Patients - Yes
Telehealth Station/Equipment Available - Services both in-person and TeleHealth
Specialties - None
Populations Served - None

CHUEH, DANIEL

Provider Type - Psychiatry & Neurology Psychiatry
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1174589642
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - None
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

ADVANTAGE NEUROPSYCHIATRIC ASSOC

1010 W CHAPMAN AVE
ORANGE, CA 92868-2847
Phone - (714) 633-4300
Type of Licensure - Physician Assistants
Service Type - Mental Health Services
License/Credential # - 21198
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - None
Populations Served - None

COLONE, CRYSTAL

Provider Type - Physician Assistant, Physician Assistant, Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1265742514
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - None
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

ADVANTAGE NEUROPSYCHIATRIC ASSOC

1010 W CHAPMAN AVE
ORANGE, CA 92868-2847
Phone - (714) 633-4300
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95021447
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - None
Populations Served - None

CRUZ, ANNA

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1013649482
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - None
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

ADVANTAGE NEUROPSYCHIATRIC ASSOC

1010 W CHAPMAN AVE
ORANGE, CA 92868-2847
Phone - (714) 633-4300
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95268126
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults/Older Adults, Children/Youth

GONWA RAMONDA, ADDIE

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1437988946
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum, Children and Youth
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

ADVANTAGE NEUROPSYCHIATRIC ASSOC

1010 W CHAPMAN AVE
ORANGE, CA 92868-2847
Phone - (714) 633-4300
Type of Licensure - Physician
Service Type - Mental Health Services
License/Credential # - 13624
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - None
Populations Served - None

IDREES, ZAHEIB

Provider Type - Psychiatry & Neurology Psychiatry
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1063837151
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - None
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

ADVANTAGE NEUROPSYCHIATRIC ASSOC

1010 W CHAPMAN AVE
ORANGE, CA 92868-2847
Phone - (714) 633-4300
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95017626
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - None
Populations Served - None

MABAZZA, CLARO MARK

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1326617358
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - None
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

ADVANTAGE NEUROPSYCHIATRIC ASSOC

1010 W CHAPMAN AVE
ORANGE, CA 92868-2847
Phone - (714) 633-4300
Type of Licensure - Physician Assistants
Service Type - Mental Health Services
License/Credential # - PA19593
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - None
Populations Served - None

MEJIA, EVERARDO

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1144491259
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - None
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

ADVANTAGE NEUROPSYCHIATRIC ASSOC

1010 W CHAPMAN AVE
ORANGE, CA 92868-2847
Phone - (714) 633-4300
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95002151
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - None
Populations Served - None

MORGAN, JAMES

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1639478514
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - None
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

ADVANTAGE NEUROPSYCHIATRIC ASSOC

1010 W CHAPMAN AVE
ORANGE, CA 92868-2847
Phone - (714) 633-4300
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95044332
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults, Children/Youth

PHAN, PHUNG

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1487152534
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum, Children and Adolescents, Children and Youth
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

ADVANTAGE NEUROPSYCHIATRIC ASSOC

1010 W CHAPMAN AVE
ORANGE, CA 92868-2847
Phone - (714) 633-4300
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95080230
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - None
Populations Served - None

SIEWERT, THAIS

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1194348318
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - None
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

ADVANTAGE NEUROPSYCHIATRIC ASSOC

1010 W CHAPMAN AVE
ORANGE, CA 92868-2847
Phone - (714) 633-4300
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95021260
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - None
Populations Served - None

THAI, MARIA

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1568173367
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - None
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

ADVANTAGE NEUROPSYCHIATRIC ASSOC

1010 W CHAPMAN AVE
ORANGE, CA 92868-2847
Phone - (714) 633-4300
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95023569
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - None
Populations Served - None

TRIPPEL, MARIA

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1063123925
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - None
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

ASANA INTEGRATED MEDICAL GROUP PC

6200 CANOGA AVE, STE 108
WOODLAND HILLS, CA 91367-7793
Phone - 818-532-1297
Type of Licensure - Physician
Service Type - Mental Health Services
License/Credential # - A123598
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults

WARIKOO, NISHA

Provider Type - Psychiatry & Neurology Psychiatry
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1306164462
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

GAIL ROSS

1025 S ANAHEIM BLVD
ANAHEIM, CA 92805-5806
Phone - (949)6422734
Type of Licensure - Physician
Service Type - Crisis Intervention, Mental Health Services, Medication Support Services, Targeted Case Management
License/Credential # - A31936
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults

ROSS, GAIL

Provider Type - Psychiatry & Neurology Psychiatry
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1619043361
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

MAHTAB YOUSEFI

301 VICTORIA ST
COSTA MESA, CA 92627-1995
Phone - (949) 642-2734
Type of Licensure - Physician
Service Type - Crisis Intervention, Mental Health Services, Medication Support Services, Targeted Case Management
License/Credential # - 153711
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Rehabilitation Counseling
Populations Served - Adults/Older Adults

YOUSEFI, MAHTAB

Provider Type - Psychiatry & Neurology Psychiatry
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1649613753
Cultural Competency Training - Yes
Medicare Provider - Yes
Cultural Capabilities - Older Adults
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - Yes

NEBULA HEALTH LLC

806 AVENIDA PICO, SUITE I-33
SAN CLEMENTE, CA 92673-5639
Phone - 657-346-6319
Type of Licensure - Physician
Service Type - Mental Health Services
License/Credential # - A118562
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults

RAJPOOT, DEEPAK

Provider Type - Psychiatry & Neurology Psychiatry
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1093942864
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

NEW FOUNDATION MEDICAL INC

520 N MAIN ST, STE 120
SANTA ANA, CA 92701-4623
Phone - (714) 352-5800
Type of Licensure - Physician
Service Type - Mental Health Services
License/Credential # - A140822
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults

ARAMESH, SHADI

Provider Type - Psychiatry & Neurology Psychiatry
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1326487091
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

NEW FOUNDATION MEDICAL INC

520 N MAIN ST, STE 120
SANTA ANA, CA 92701-4623
Phone - (714) 352-5800
Type of Licensure - Physician
Service Type - Mental Health Services
License/Credential # - A116800
Accept New Patients - Yes
Telehealth Station/Equipment Available - Services both in-person and TeleHealth
Specialties - Co-Occurring Disorders
Populations Served - Adults

CHU, WEIMING

Provider Type - Psychiatry & Neurology Child & Adolescent Psychiatry
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1114189529
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - LGBTQ+/TGI
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - Yes

NEW FOUNDATION MEDICAL INC

520 N MAIN ST, STE 120
SANTA ANA, CA 92701-4623
Phone - (714) 352-5800
Type of Licensure - Physician
Service Type - Mental Health Services
License/Credential # - A96369
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults/Older Adults, Children/Youth

DENNIS, TSHEKEDI

Provider Type - Psychiatry & Neurology Psychiatry
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1215015508
Cultural Competency Training - Yes
Medicare Provider - Yes
Cultural Capabilities - Asylum, Children and Adolescents, Children and Youth
Accepting Children's Health Insurance Program - Yes
Transgender, Gender Diverse, or Intersex(TGI) Training - Yes

OC PROGRESSIVE RECOVERY INC

1100 W STEWART DR
ORANGE, CA 92868-3849
Phone - (714) 633-9111
Type of Licensure - Physician
Service Type - Mental Health Services
License/Credential # - A176800
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults

AIYER, ROHIT

Provider Type - Psychiatry & Neurology Pain Medicine
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1801207014
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

OC PROGRESSIVE RECOVERY INC

1100 W STEWART DR
ORANGE, CA 92868-3849
Phone - (714) 633-9111
Type of Licensure - Physician
Service Type - Mental Health Services
License/Credential # - A129727
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults

ALIJI, NARMIN

Provider Type - Psychiatry & Neurology Child & Adolescent Psychiatry
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1811288822
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

OC PROGRESSIVE RECOVERY INC

1100 W STEWART DR
ORANGE, CA 92868-3849
Phone - (714) 633-9111
Type of Licensure - Physician
Service Type - Mental Health Services
License/Credential # - A140822
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults

ARAMESH, SHADI

Provider Type - Psychiatry & Neurology Psychiatry
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1326487091
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

OC PROGRESSIVE RECOVERY INC

1100 W STEWART DR
ORANGE, CA 92868-3849
Phone - (714) 633-9111
Type of Licensure - Nurse - RN, LPN, NA
Service Type - Mental Health Services
License/Credential # - 439207
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults

ASOMBRADO, DORIS

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1992778666
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

OC PROGRESSIVE RECOVERY INC

1100 W STEWART DR
ORANGE, CA 92868-3849
Phone - (714) 633-9111
Type of Licensure - Physician
Service Type - Mental Health Services
License/Credential # - 92962
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults

AUGIUS, LINA

Provider Type - Psychiatry & Neurology Psychiatry
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1205026705
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

OC PROGRESSIVE RECOVERY INC

1100 W STEWART DR
ORANGE, CA 92868-3849
Phone - (714) 633-9111
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 167331
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults

BELTRAN, MARICELA

Provider Type - Psychiatry & Neurology Psychiatry
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1699204321
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

OC PROGRESSIVE RECOVERY INC

1100 W STEWART DR
ORANGE, CA 92868-3849
Phone - (714) 633-9111
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95006114
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - None
Populations Served - None

CHUMPITAZ, PAMELA

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1528424173
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - None
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

OC PROGRESSIVE RECOVERY INC

1100 W STEWART DR
ORANGE, CA 92868-3849
Phone - (714) 633-9111
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95024966
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults

FAZIL, MARIAM

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1235827429
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

OC PROGRESSIVE RECOVERY INC

1100 W STEWART DR
ORANGE, CA 92868-3849
Phone - (714) 633-9111
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95002098
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults

ILLESCAS, CINDY

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1720449358
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

OC PROGRESSIVE RECOVERY INC

1100 W STEWART DR
ORANGE, CA 92868-3849
Phone - (714) 633-9111
Type of Licensure - Physician
Service Type - Mental Health Services
License/Credential # - A109030
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults

ISMAIL, ASHRAF

Provider Type - Psychiatry & Neurology Psychiatry
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1720211691
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

OC PROGRESSIVE RECOVERY INC

1100 W STEWART DR
ORANGE, CA 92868-3849
Phone - (714) 633-9111
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 15804
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults

KANG, VERONICA

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1801815998
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

OC PROGRESSIVE RECOVERY INC

1100 W STEWART DR
ORANGE, CA 92868-3849
Phone - (714) 633-9111
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95021622
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - None
Populations Served - None

KSENDZ, PAVEL

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1790406882
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - None
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

OC PROGRESSIVE RECOVERY INC

1100 W STEWART DR
ORANGE, CA 92868-3849
Phone - (714) 633-9111
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95004774
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Children/Youth

LOPEZ RAMIREZ, VERONICA

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1144778200
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

OC PROGRESSIVE RECOVERY INC

1100 W STEWART DR
ORANGE, CA 92868-3849
Phone - (714) 633-9111
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95022816
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults

MEZA, ANDREA

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1891213914
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

OC PROGRESSIVE RECOVERY INC

1100 W STEWART DR
ORANGE, CA 92868-3849
Phone - (714) 633-9111
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95001938
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults

PERKINS, SAMANTHA

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1790023281
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

OC PROGRESSIVE RECOVERY INC

1100 W STEWART DR
ORANGE, CA 92868-3849
Phone - (714) 633-9111
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95021209
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults

PHAM, NGOC

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1366144180
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

OC PROGRESSIVE RECOVERY INC

1100 W STEWART DR
ORANGE, CA 92868-3849
Phone - (714) 633-9111
Type of Licensure - Physician
Service Type - Mental Health Services
License/Credential # - A106902
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults

RASYIDI, ERNEST

Provider Type - Psychiatry & Neurology Psychiatry
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1962644997
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

OC PROGRESSIVE RECOVERY INC

1100 W STEWART DR
ORANGE, CA 92868-3849
Phone - (714) 633-9111
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95012192
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Children/Youth

SILVER, CASSANDRA

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1508347485
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Children and Youth
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

OC PROGRESSIVE RECOVERY INC

1100 W STEWART DR
ORANGE, CA 92868-3849
Phone - (714) 633-9111
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95021039
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults

TORIOLA, ABIODUN

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1235862780
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

OC PROGRESSIVE RECOVERY INC

1100 W STEWART DR
ORANGE, CA 92868-3849
Phone - (714) 633-9111
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95003782
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults, Children/Youth

ZAMIL, TAQIALDEEN

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1598154478
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician
Service Type - Mental Health Services, Medication Support Services
License/Credential # - A62396
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

ALVA, ALEJANDRO

Provider Type - Psychiatry & Neurology Psychiatry
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1801816764
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 94479
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adolescents, Adults, Children/Youth

BHARDWAJ, PRITI

Provider Type - Psychiatry & Neurology Psychiatry
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1750419230
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum, Children and Adolescents, Children and Youth
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - PA57436
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

BROSAMER, ERIN

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1710534359
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 61714
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

CHEN, CINDY

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1023756053
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 95033114
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

DUMERTON, BRENNA

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1386455210
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 65353
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

FAJILAN, MADELEINE

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1548810591
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 22477
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

FENDRICK, KRISTA

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1316297286
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 61385
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adolescents, Adults, Children/Youth

GHEYBI, TATIANA

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1487380275
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum, Children and Youth
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician
Service Type - Mental Health Services, Medication Support Services
License/Credential # - A35746
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

HANNA, JEANNETTE

Provider Type - Psychiatry & Neurology Psychiatry
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1578652798
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - PA59223
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

JOHNSON, ANDREW

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1730778978
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 60293
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adolescents, Adults, Children/Youth

KANG, ELISHA

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1184379596
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum, Children and Adolescents, Children and Youth
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 53960
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

KANTELIS, SARAH

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1881047892
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 65054
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

KENDALL, NOELLE

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1699502815
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 95026848
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

LIEU, VINCENT

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1245016526
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 63643
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

MACHIWALLA, RUKHSAR

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1932700259
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 62086
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

MARTINEZ, BRANDY

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1235875527
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 19690
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

MISSAKIAN, MICHELE

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1215254461
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 56449
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

MULE, ALEXANDER

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1649744665
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 95013582
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

MUSICH, CHRISTINE

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1760014724
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician
Service Type - Mental Health Services, Medication Support Services
License/Credential # - A195619
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adolescents, Adults, Children/Youth

NABI, SHARMIN

Provider Type - Psychiatry & Neurology Psychiatry
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1164050597
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum, Children and Adolescents, Children and Youth
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 60335
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

NOJAN, JOSEPH

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1083380885
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 60496
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

OLIVAS, NICOLE

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1366030546
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 61530
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

PAGANELLI, RACHEL

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1326647413
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 60815
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

PARK, SUNG JIN

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1093457194
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 21163
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

PATEL, SHEENA

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1932454709
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 59117
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

PERHAM, KELLYN

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1841881778
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician
Service Type - Mental Health Services, Medication Support Services
License/Credential # - A101564
Accept New Patients - Yes
Telehealth Station/Equipment Available - Services both in-person and TeleHealth
Specialties - Medication Education, Management, and Support
Populations Served - Adults

PLOESSER, MARKUS

Provider Type - Psychiatry & Neurology
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1669662755
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 51531
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

POKKAMTHANAM, SUNEENA

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1396163945
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician
Service Type - Mental Health Services, Medication Support Services
License/Credential # - C164851
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

POWELL, STEVEN

Provider Type - Psychiatry & Neurology Psychiatry
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1477649168
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 65341
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

SANTACRUZ JR, JUAN

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1528823689
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 61412
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

SANTILLAN, MICHAEL

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1861139628
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 51365
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

SEBASTIAN, JENNIFER

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1942627880
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician
Service Type - Mental Health Services, Medication Support Services
License/Credential # - A135762
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

SHREIBA, MOHAMMED

Provider Type - Psychiatry & Neurology Psychiatry
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1982866067
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 57325
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

STUTZ, BRANDON

Provider Type - Clinical Nurse Specialist Psych/Mental Health
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1316588734
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 58801
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

TOLENTINO, JAMES

Provider Type - Physician Assistant, Clinical Nurse Specialist Psych/Mental Health
Service Type - Medication Support
Language(s) spoken - English
Gender - Male
Provider NPI - 1972131761
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 60661
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

VONG, TIMOTHY

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1477125250
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician
Service Type - Mental Health Services, Medication Support Services
License/Credential # - A64936
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

WEINSTEIN, JOHN

Provider Type - Psychiatry & Neurology Psychiatry
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1255402608
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 95031900
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adolescents, Adults, Children/Youth

WIER, KOA

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1740848670
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum, Children and Adolescents, Children and Youth
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 64880
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adolescents, Adults, Children/Youth

WONG, NATALIE

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1619751930
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum, Children and Adolescents, Children and Youth
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 59052
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

YANG, KELLY

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1215588991
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 61685
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

YEA, ARIANA

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1265156483
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.

3151 AIRWAY AVE, STE. G1
COSTA MESA, CA 92626-4624
Phone - (714) 545-5550
Type of Licensure - Physician Assistants
Service Type - Mental Health Services, Medication Support Services
License/Credential # - 59208
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education, Management, and Support
Populations Served - Adults

YOO, JEA

Provider Type - Physician Assistant
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1245828946
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PROGENY PSYCHIATRIC GROUP - IRVINE

17782 COWAN, STE A
IRVINE, CA 92614-6041
Phone - 949-722-7118
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95011905
Accept New Patients - Yes
Telehealth Station/Equipment Available - Services both in-person and TeleHealth
Specialties - Medication Education and Support
Populations Served - Adults

ACEVEDO, MARIA

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1992363535
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PROGENY PSYCHIATRIC GROUP - IRVINE

17782 COWAN, STE A
IRVINE, CA 92614-6041
Phone - 949-722-7118
Type of Licensure - Physician
Service Type - Mental Health Services
License/Credential # - A44980
Accept New Patients - Yes
Telehealth Station/Equipment Available - Services both in-person and TeleHealth
Specialties - None
Populations Served - None

AFSHAR, PARVIN

Provider Type - Psychiatry & Neurology Psychiatry
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1437247335
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - None
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PROGENY PSYCHIATRIC GROUP - IRVINE

17782 COWAN, STE A
IRVINE, CA 92614-6041
Phone - 949-722-7118
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95013853
Accept New Patients - Yes
Telehealth Station/Equipment Available - Services both in-person and TeleHealth
Specialties - Medication Education and Support
Populations Served - Adults

ALSTON, JADA

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1427692375
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PROGENY PSYCHIATRIC GROUP - IRVINE

17782 COWAN, STE A
IRVINE, CA 92614-6041
Phone - 949-722-7118
Type of Licensure - Nurse - RN, LPN, NA
Service Type - Mental Health Services
License/Credential # - 704638
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults

EDWARDS, MELISSA

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1598252173
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PROGENY PSYCHIATRIC GROUP - IRVINE

17782 COWAN, STE A
IRVINE, CA 92614-6041
Phone - 949-722-7118
Type of Licensure - Physician
Service Type - Mental Health Services
License/Credential # - 127381
Accept New Patients - No
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults

FRAZIER, MICHAEL

Provider Type - Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1225396591
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PROGENY PSYCHIATRIC GROUP - IRVINE

17782 COWAN, STE A
IRVINE, CA 92614-6041
Phone - 949-722-7118
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95008466
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults

GUINEY, DYLAN

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1295242410
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PROGENY PSYCHIATRIC GROUP - IRVINE

17782 COWAN, STE A
IRVINE, CA 92614-6041
Phone - 949-722-7118
Type of Licensure - Physician
Service Type - Mental Health Services
License/Credential # - A66130
Accept New Patients - Yes
Telehealth Station/Equipment Available - Services both in-person and TeleHealth
Specialties - Medication Education and Support
Populations Served - Adults

KELLOGG, JASON

Provider Type - Psychiatry & Neurology Psychiatry
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1952331530
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PROGENY PSYCHIATRIC GROUP - IRVINE

17782 COWAN, STE A
IRVINE, CA 92614-6041
Phone - 949-722-7118
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 95013863
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults

KIM, HELEN

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1497380356
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PROGENY PSYCHIATRIC GROUP - IRVINE

17782 COWAN, STE A
IRVINE, CA 92614-6041
Phone - 949-722-7118
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - 23839
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Adults

NGUYEN, MICHELLE

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1740601269
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PROGENY PSYCHIATRIC GROUP - IRVINE

17782 COWAN, STE A
IRVINE, CA 92614-6041
Phone - 949-722-7118
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - NP95003693
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - None
Populations Served - None

TRAN, PHUONG

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1275990111
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - None
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PROGENY PSYCHIATRIC GROUP - IRVINE

17782 COWAN, STE A
IRVINE, CA 92614-6041
Phone - 949-722-7118
Type of Licensure - Nurse Practitioner/ Advanced/Masters RN
Service Type - Mental Health Services
License/Credential # - NP23639
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - Medication Education and Support
Populations Served - Children/Youth

TRINH, LINDA

Provider Type - Nurse Practitioner
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Female
Provider NPI - 1124333828
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - Asylum
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No

PROGENY PSYCHIATRIC GROUP - IRVINE

17782 COWAN, STE A
IRVINE, CA 92614-6041
Phone - 949-722-7118
Type of Licensure - Physician
Service Type - Mental Health Services
License/Credential # - 10933
Accept New Patients - Yes
Telehealth Station/Equipment Available - Does not provide TeleHealth services
Specialties - None
Populations Served - None

TURNER, RANDALL

Provider Type - Psychiatry & Neurology Psychiatry
Service Type - Mental Health Services
Language(s) spoken - English
Gender - Male
Provider NPI - 1164696993
Cultural Competency Training - Yes
Medicare Provider - No
Cultural Capabilities - None
Accepting Children's Health Insurance Program - No
Transgender, Gender Diverse, or Intersex(TGI) Training - No