Psychiatric Nursing Prescriber

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PSYCHIATRIC NURSING PRESCRIBER

Doing business as

Personal Practitioners

Practice address

1 Sansome St FL 35
San Francisco, CA 94104-4436

Phone

(415) 605-5760

NPI assigned

Apr 15, 2024

Last updated

Apr 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca Blakesley, PMHNP

Title

Pmhnp

Phone

(415) 605-5760

Specialties & licenses 1

Addresses

Other names 1

• Personal Practitioners Doing business as

Locations

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1275387532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 SOUTHAMPTON ROAD",
            "address_2": "STE B #115",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "94510",
            "telephone_number": "415-605-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SANSOME ST FL 35",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941044436",
            "telephone_number": "415-605-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC NURSING PRESCRIBER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-14",
        "status": "A",
        "authorized_official_last_name": "BLAKESLEY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "415-605-5760",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personal Practitioners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Helen Xin Pu, MD
• Shelley Pu
• Tiffany Zhangting Pu, DDS
• Sheila Marie Puatu, FNP

• Psychiatric/Mental Health Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, 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 Apr 15, 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.