Liberty Psychiatry and Mental Health a Professional Nursing Corp

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LIBERTY PSYCHIATRY AND MENTAL HEALTH A PROFESSIONAL NURSING CORP

Practice address

6833 Indiana Ave Ste 208
Riverside, CA 92506-4223

Phone

(909) 635-5627

NPI assigned

Jun 9, 2022

Organization subpart

No

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

Authorized official

Name

Oluwatoyin Ogunjale, NP

Title

Owner

Phone

(909) 635-5627

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Vijay Chandran, MD,RN,MBA.;

  • Psychiatry Physician
  • Santa Ana, CA
  • NPI 1801283692
  NPD
• Ekerette J Essien, PH.D.

  • Clinical Psychologist
  • Riverside, CA
  • NPI 1396706438
  NPD

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1194454546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6833 INDIANA AVE STE 208",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064223",
            "telephone_number": "909-635-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6833 INDIANA AVE STE 208",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064223",
            "telephone_number": "909-635-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PSYCHIATRY AND MENTAL HEALTH A PROFESSIONAL NURSING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "OGUNJALE",
        "authorized_official_first_name": "OLUWATOYIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-635-5627",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Liang
• Eric Jacob Liao
• Peter W Liao, M.D.
• Rosie S. Libed
• Amber Libertini-Cochran
• Cristy Licon
• Lindsey Pineda Licup, NP
• Kenya Daimond Liddell
• Marlene Lynette Liddell
• Andrew Lidwin

• Psychiatric/Mental Health Nurse Practitioner in Riverside, CA
• Providers in Riverside, 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 Jun 9, 2022; 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.