Cyrine Mari Phan-Madrona, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95032106 Issued in CA

Practice address

2650 E Foothill Blvd
Pasadena, CA 91107-3439

Phone

(626) 577-2261

Fax

(714) 276-2604

NPI assigned

Aug 18, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Mental Health and Nursing PC

  dba Renewed Mental Health Group

  • Psychiatric/Mental Health Nurse Practitioner
  • Anaheim, CA
  • NPI 1528693579
  Medicare reassignment NPD

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1184407470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2652 MAYNARD DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102215",
            "fax_number": "714-276-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 E FOOTHILL BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073439",
            "telephone_number": "626-577-2261",
            "fax_number": "714-276-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN-MADRONA",
        "first_name": "CYRINE MARI",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95032106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dolly Pham
• Khuong Pham
• Michelle Pham
• Preston Pham
• Theodore Pham
• Annastasia Apolinario Phan
• Jennifer Ngoc-Son Phan, PSY.D.
• Katharina Phan
• Pharmapain, Inc.
• Pharmedix Inc (California Health Mart Pharmacy & Medical Supply)

• Psychiatric/Mental Health Nurse Practitioner in Pasadena, CA
• Providers in Pasadena, 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 Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.