Organization Active NPI

Novascend Neurowellness, a Professional Nursing Corporation

  • Adult Mental Health Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1124959143
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
NOVASCEND NEUROWELLNESS, A PROFESSIONAL NURSING CORPORATION
Practice address
11845 W Olympic Blvd Ste 1250W
Los Angeles, CA 90064-1149
Phone
(424) 373-6435
Fax
(424) 799-0083
NPI assigned
May 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
John Christopher Eugenio, MSN, PMHNP-BC, CCMNPI 1225969249
Title
Owner/Pmhnp-BC
Phone
(424) 373-6435

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

11845 W Olympic Blvd Ste 1250W
Los Angeles, CA 90064-1149

Mailing address

11845 W Olympic Blvd Ste 1250W
Los Angeles, CA 90064-1149
Phone (424) 373-6435

National Provider Directory

National Provider Directory

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": "1779840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1124959143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11845 W OLYMPIC BLVD STE 1250W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641149",
            "telephone_number": "424-373-6435",
            "fax_number": "424-799-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11845 W OLYMPIC BLVD STE 1250W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641149",
            "telephone_number": "424-373-6435",
            "fax_number": "424-799-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVASCEND NEUROWELLNESS, A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "EUGENIO",
        "authorized_official_first_name": "JOHN CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER/PMHNP-BC",
        "authorized_official_telephone_number": "424-373-6435",
        "authorized_official_credential": "MSN, PMHNP-BC, CCM"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.