Organization Active NPI

Core Mind Institute, Professional Corporation

  • Psychiatry Physician
  • Glendale, CA
National Provider Identifier
1194646539
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CORE MIND INSTITUTE, PROFESSIONAL CORPORATION
Practice address
1111 N Brand Blvd Ste 312
Glendale, CA 91202-3071
Phone
(323) 230-0017
Fax
(323) 381-5984
NPI assigned
Jul 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Cristian Penciu, MD
Title
Owner
Phone
(323) 230-0017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1111 N Brand Blvd Ste 312
Glendale, CA 91202-3071

Mailing address

1111 N Brand Blvd Ste 312
Glendale, CA 91202-3071
Phone (323) 230-0017

National Provider Directory

National Provider Directory
Tax ID family
Core Mind Institute Professional Corporation2 organizations share this tax ID, including this one

NPI Registry JSON

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1194646539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N BRAND BLVD STE 312",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023071",
            "telephone_number": "323-230-0017",
            "fax_number": "323-381-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N BRAND BLVD STE 312",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023071",
            "telephone_number": "323-230-0017",
            "fax_number": "323-381-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE MIND INSTITUTE, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "PENCIU",
        "authorized_official_first_name": "CRISTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-230-0017",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.