My Mental Pro

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MY MENTAL PRO

Practice address

3014 Ryan Ave
Tulare, CA 93274-7765

Phone

(559) 656-7688

NPI assigned

May 27, 2022

Organization subpart

No

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

Authorized official

Name

Andrew Trino Chacon

Title

Ceo

Phone

(559) 656-7688

Specialties & licenses 1

Addresses

Other names 1

• My Mental Pro Doing business as

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1326787342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 RYAN AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932747765",
            "telephone_number": "559-656-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 RYAN AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932747765",
            "telephone_number": "559-656-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY MENTAL PRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "CHACON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "TRINO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-656-7688"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Mental Pro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Navneet Kaur Multani, PHARMD
• Isabel Munguia, AMFT
• Kimberly Annette Munn
• Alexander Perez Munoz, PHARM.D.
• Isaac Munoz
• My Piggy Banc LLC
• Nicolette Myers
• Nirmala Nagothu, MD
• Melody Ava Nameni, DO
• Syed Farhan Naqvi

• Adult Mental Health Clinic/Center in Tulare, CA
• Providers in Tulare, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.