Organization Active NPI

Rising Sun Mental Health PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Culver City, CA
National Provider Identifier
1124837794
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RISING SUN MENTAL HEALTH PC
Doing business as
Rising Sun Mental Health, A Professional Nursing Corporation
Practice address
400 Corporate Pointe Ste 300
Culver City, CA 90230-7620
Phone
(310) 351-4503
NPI assigned
Jan 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Authorized official

Name
Dr. Kathryn Libuser Satyukov, DNP, PMHNPNPI 1174135321
Title
Owner
Phone
(310) 351-4503

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

400 Corporate Pointe Ste 300
Culver City, CA 90230-7620

Mailing address

4742 N 24TH St Ste 300
Phoenix, AZ 85016-9107
Phone (623) 703-9308

Other practice location 1

4742 N 24th St Ste 300
Phoenix, AZ 85016-9107
Phone (623) 703-9308

Other names 1

  • Rising Sun Mental Health, A Professional Nursing Corporation Doing business as

National Provider Directory

National Provider Directory

Locations

400 Corporate Pointe
Ste 300
Los Angeles, CA 90230
Phone (213) 380-1399

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": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1124837794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4742 N 24TH ST STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850169107",
            "telephone_number": "623-703-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CORPORATE POINTE STE 300",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902307620",
            "telephone_number": "310-351-4503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4742 N 24th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850169107",
            "country_code": "US",
            "telephone_number": "623-703-9308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RISING SUN MENTAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "SATYUKOV",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "LIBUSER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-351-4503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, PMHNP"
    },
    "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": [
        {
            "organization_name": "Rising Sun Mental Health, A Professional Nursing Corporation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rising Sun Mental Health, A Professional Nursing Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.