Individual provider Active NPI

Henry Louis Bruneel, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Clarita, CA
National Provider Identifier
1306730148
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
772079 Issued in CA
Practice address
28359 Welfleet Lane
Home
Santa Clarita, CA 91350
Phone
(920) 213-0401
NPI assigned
Jun 5, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 772079 CA Primary

Addresses

Primary practice location

28359 Welfleet Lane
Home
Santa Clarita, CA 91350

Mailing address

28359 Welfleet Lane
Home
Santa Clarita, CA 91350
Phone (920) 213-0401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
772079CAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1306730148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28359 WELFLEET LANE",
            "address_2": "HOME",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "91350",
            "telephone_number": "920-213-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28359 WELFLEET LANE",
            "address_2": "HOME",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "91350",
            "telephone_number": "920-213-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNEEL",
        "first_name": "HENRY",
        "middle_name": "LOUIS",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "772079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.