SLM Nursing Corp

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SLM NURSING CORP

Doing business as

SLM Center for Mental Health

Practice address

473 E. Carnegie Drive
Suite 200
San Bernardino, CA 92408

Phone

(840) 252-7774

Fax

(840) 223-5913

NPI assigned

Aug 22, 2024

Organization subpart

No

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

Authorized official

Name

Sofia Moran, PMHNP

Title

NP and Owner

Phone

(840) 252-7774

Specialties & licenses 1

Addresses

Other names 1

• SLM Center for Mental Health Doing business as

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733011200000",
    "number": "1215760400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 E. CARNEGIE DRIVE",
            "address_2": "SUITE 200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92408",
            "telephone_number": "840-252-7774",
            "fax_number": "840-223-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 E. CARNEGIE DRIVE",
            "address_2": "SUITE 200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92408",
            "telephone_number": "840-252-7774",
            "fax_number": "840-223-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLM NURSING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-12-01",
        "certification_date": "2024-12-01",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "SOFIA",
        "authorized_official_title_or_position": "NP AND OWNER",
        "authorized_official_telephone_number": "840-252-7774",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SLM Center for Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dana Michael Slaby
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• Yaser A Slayyeh, M.D.
• Noelle Samaria Sloat
• David L. Slough, D.D.S.
• Brandy Ann Slusser, LMFT
• George H Small, M.D
• Madison Small

• Psychiatric/Mental Health Nurse Practitioner in San Bernardino, CA
• Providers in San Bernardino, 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 Dec 1, 2024; 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.