Joanna Marie Pasion Prudhomme, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95038645 Issued in CA

Practice address

21580 Yorba Linda Blvd Ste B
Yorba Linda, CA 92887-3748

Phone

(949) 414-9495

NPI assigned

Sep 4, 2025

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

Credentials

Nurse Practitioner

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.

• Mbldn TMS PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Yorba Linda, CA
  • NPI 1811709991
  NPD (past)
• Osmind Healthcare Ca PC

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1871467266
  NPD (past)

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1275413809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21580 YORBA LINDA BLVD STE B",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873748",
            "telephone_number": "949-414-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21580 YORBA LINDA BLVD STE B",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873748",
            "telephone_number": "949-414-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUDHOMME",
        "first_name": "JOANNA",
        "middle_name": "MARIE PASION",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-04",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "763068",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95038645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prieto Chiropractic, Inc
• Brian Prieto, D.C.
• Wanda Sue Pritts, RN, CNS
• Virginia Vern Privette, MFT
• Lauren Proano
• PSB Homes, Inc
• Jennie Hope Pullen, AMFT
• Puresmiledentalhygienepracticeofminervaherediardhap
• Taylor Pyle, LPCC, LMFT
• Guotian Quan

• Psychiatric/Mental Health Nurse Practitioner in Yorba Linda, CA
• Providers in Yorba Linda, 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 Jun 25, 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.