Embrace Behavioral Health, Professional Nursing Corporation

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EMBRACE BEHAVIORAL HEALTH, PROFESSIONAL NURSING CORPORATION

Practice address

380 S Melrose Dr Ste 123
Vista, CA 92081-6641

Phone

(949) 668-3635

Fax

(949) 288-0251

NPI assigned

Sep 21, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Jazmyne Bosley, PMHNP

Title

President

Phone

(949) 668-3635

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1265155691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 S MELROSE DR # 123",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816641",
            "telephone_number": "949-668-3635",
            "fax_number": "949-288-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 S MELROSE DR STE 123",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816641",
            "telephone_number": "949-668-3635",
            "fax_number": "949-288-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE BEHAVIORAL HEALTH, PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "BOSLEY",
        "authorized_official_first_name": "JAZMYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-668-3635",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Vista, CA
• Providers in Vista, 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 Oct 20, 2023; 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.