NPIMap

Organization Active NPI

Morante Psychiatric Nursing PC

Doing business as Psychup

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1184326944
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MORANTE PSYCHIATRIC NURSING PC
Doing business as
Psychup
Psychup Nursing PC
Practice address
11900 Avalon Blvd Ste B
Los Angeles, CA 90061-2866
Phone
(888) 783-1883
Fax
(888) 653-3144
NPI assigned
Mar 17, 2023
Last updated
Mar 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Mr. Pedro Estrada Morante, NP, PMHNP-BC, FNP-BCNPI 1689038507
Title
Ceo
Phone
(661) 888-0195

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X
Child & Adolescent Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0804X
Geriatric Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0805X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

11900 Avalon Blvd Ste B
Los Angeles, CA 90061-2866

Mailing address

28802 Garnet Canyon Dr
Santa Clarita, CA 91390-5263
Phone (661) 888-0195

Other practice location 1

6245 Delongpre Ave 2nd Floor
Los Angeles, CA 90028
Phone (661) 888-0195

Other names 2

  • Psychup Doing business as
  • Psychup Nursing PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230612002578 CA Part B Supplier - Clinic/Group Practice 3577920263 Receives reassigned benefits from 6 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

3340 W Ball Rd
Ste G
Anaheim, CA 92804
Phone (651) 441-1484

11900 Avalon Blvd
Ste B
Los Angeles, CA 90061
Phone (888) 783-1883

6245 De Longpre Ave
Ste 2
Los Angeles, CA 90028

11840 Magnolia Ave
Riverside, CA 92503

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1184326944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28802 GARNET CANYON DR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913905263",
            "telephone_number": "661-888-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 AVALON BLVD STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900612866",
            "telephone_number": "888-783-1883",
            "fax_number": "888-653-3144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6245 Delongpre Ave 2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90028",
            "country_code": "US",
            "telephone_number": "661-888-0195",
            "fax_number": "888-653-3144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MORANTE PSYCHIATRIC NURSING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "MORANTE",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "ESTRADA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-888-0195",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP, PMHNP-BC, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychup",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Psychup Nursing PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.