Individual provider Active NPI

Berlyne Louisius

  • Psychiatric/Mental Health Nurse Practitioner
  • W Hollywood, CA
National Provider Identifier
1073363719
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11031629 Issued in FL
Practice address
8235 Santa Monica Blvd Ste 302
W Hollywood, CA 90046-5969
Phone
(323) 366-2966
NPI assigned
Mar 25, 2024
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11031629 FL Primary

Addresses

Primary practice location

8235 Santa Monica Blvd Ste 302
W Hollywood, CA 90046-5969

Mailing address

8235 Santa Monica Blvd Ste 302
W Hollywood, CA 90046-5969
Phone (323) 366-2966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260416002037 CA Practitioner - Nurse Practitioner 5496221517 Reassigns benefits to 1 organization
I20260611000303 NY Practitioner - Nurse Practitioner 5496221517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Crescent CT
Suite 700
Dallas, TX 75201-1841

12301 Wilshire Blvd
Suite 512
Los Angeles, CA 90025-1053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11031629FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Brain Spa, LLC PastSince Mar 1, 2024 Accepting new patients
Gastroenterology Specialist Inc PastSince Mar 1, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: berlyne.louisius.1@9357.direct.athenahealth.com
  • Direct secure messaging: berlyne.louisius.2@9357.direct.athenahealth.com
  • Direct secure messaging: berlyne.louisius.3@9357.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1073363719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 SANTA MONICA BLVD STE 302",
            "city": "W HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465969",
            "telephone_number": "323-366-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 SANTA MONICA BLVD STE 302",
            "city": "W HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465969",
            "telephone_number": "323-366-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUISIUS",
        "first_name": "BERLYNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11031629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in W Hollywood, CA

Sources for this page

Verify at the official NPI Registry.