Pacific Psych NP, Nursing PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PACIFIC PSYCH NP, NURSING PC

Practice address

16611 Burke LN
Huntington Beach, CA 92647-4535

Phone

(323) 940-5504

Fax

(323) 614-4749

NPI assigned

Dec 31, 2024

Organization subpart

No

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

Authorized official

Name

Julie Miller, PMHNPNPI 1013554716

Title

Ceo

Phone

(323) 940-5504

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Miller, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Huntington Beach, CA
  • NPI 1013554716
  NPD Authorized official

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1326857798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16611 BURKE LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474535",
            "telephone_number": "323-940-5504",
            "fax_number": "323-614-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16611 BURKE LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474535",
            "telephone_number": "323-940-5504",
            "fax_number": "323-614-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PSYCH NP, NURSING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-940-5504",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergio Pacheco
• Pacific Beach Medical Group, Inc.
• Pacific Breeze Recovery LLC
• Pacific Coast Hydration Inc
• Pacific Medical Massage, LLC
• Pacific Shores Medical Group, Inc
• Pacific Sun Sleep Solutions
• Pacific Surgical Center
• Pacific Surgical Center, P.C.
• Pacific Surgical LLC.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.