Organization Active NPI

Shine Psychiatry Professional Nursing Corp.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tustin, CA
National Provider Identifier
1053202028
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SHINE PSYCHIATRY PROFESSIONAL NURSING CORP.
Practice address
14451 Chambers Rd Ste 110
Tustin, CA 92780-6973
Phone
(650) 507-4826
Fax
(650) 396-7917
NPI assigned
Jul 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sahil Girish Mehta, PMHNPNPI 1215708086
Title
Ceo
Phone
(714) 337-8020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

14451 Chambers Rd Ste 110
Tustin, CA 92780-6973

Mailing address

1054 Wingfoot St
Placentia, CA 92870-4444
Phone (714) 337-8020

Other names 1

  • Shine Psychiatry and Mental Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

14451 Chambers Rd
Ste 110
Tustin, CA 92780
Phone (650) 507-4826

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1053202028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 WINGFOOT ST",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928704444",
            "telephone_number": "714-337-8020",
            "fax_number": "650-396-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14451 CHAMBERS RD STE 110",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806973",
            "telephone_number": "650-507-4826",
            "fax_number": "650-396-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE PSYCHIATRY PROFESSIONAL NURSING CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-09",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "SAHIL",
        "authorized_official_middle_name": "GIRISH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-337-8020",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shine Psychiatry and Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.