Phoenix Mental Health Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PHOENIX MENTAL HEALTH SERVICES LLC

Practice address

2180 S Beverly Glen Blvd
Los Angeles, CA 90025-6048

Phone

(323) 370-4917

Fax

(323) 372-3127

NPI assigned

Aug 7, 2026

Organization subpart

No

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

Authorized official

Name

Meagan Victoria Jean Pruden, MSN, PMHNP-BCNPI 1922976869

Title

Owner

Phone

(323) 370-4917

Specialties & licenses 1

Addresses

Practitioners 1

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

• Meagan Victoria Jean Pruden, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
  • NPI 1922976869
  NPD (past) Authorized official

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

{
    "created_epoch": "1786060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1083538532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 WASHINGTON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322781",
            "telephone_number": "323-370-4917",
            "fax_number": "323-372-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 S BEVERLY GLEN BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256048",
            "telephone_number": "323-370-4917",
            "fax_number": "323-372-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-07",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "PRUDEN",
        "authorized_official_first_name": "MEAGAN",
        "authorized_official_middle_name": "VICTORIA JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-370-4917",
        "authorized_official_credential": "MSN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teena Phillips
• Tiara Phillips
• Tyler Jay Phillips, M.D.
• Valerie Marianne Phillips, ND
• Phoenix Doctors
• Julie Lee Phok, L.AC, DIPL.AC
• Sonephet Phommarath, PSY.D
• Jeffrey Phommasith
• Anna Phong
• Kenneth Phong, NP

• Psychiatric/Mental Health Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.