Marina Grisele Duarte-Pulido, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95030759 Issued in CA

Practice address

150 S Los Robles Ave Ste 850
Pasadena, CA 91101-4630

Phone

(323) 616-6279

NPI assigned

Jul 24, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Foresight Mental Health

  • Counselor
  • Sacramento, CA
  • NPI 1902390537

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1658620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1225763147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 BURWOOD TER",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900421327",
            "telephone_number": "323-616-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S LOS ROBLES AVE STE 850",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911014630",
            "telephone_number": "323-616-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUARTE-PULIDO",
        "first_name": "MARINA",
        "middle_name": "GRISELE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-24",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "951198985",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95030759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DRM Psychological Services Corporation
• Drmichaels Wellness Center
• Karen A Drosdik, DDS
• Shefali Dsa, MFT
• Deborah Duan
• Alexia Annjellea Duarte
• Ariana Duarte
• Veronica Duarte
• Veronica Duarte
• Judy Dubko, P.A.-C

• 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 Jul 31, 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.