Jennilyn Banal, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95018066 Issued in CA

Practice address

14860 Roscoe Blvd Ste 304
Panorama City, CA 91402-4695

Phone

(747) 998-0387

NPI assigned

Sep 24, 2021

Last updated

Sep 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Geri Connection

  • Family Medicine Physician
  • Poway, CA
  • NPI 1447976907
  Medicare reassignment NPD
• Myndfull Care California PC

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1912699703
  Medicare reassignment NPD
• Myndfull Care Management California PC

  • Clinic/Center
  • San Diego, CA
  • NPI 1770206435
  Medicare reassignment NPD
• Truist Medical & Behavioral Health Services, Inc

  • Addiction Psychiatry Physician
  • Sacramento, CA
  • NPI 1124730031
  Medicare reassignment NPD
• California Care Wellness Medical Center Inc.

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1447874516
  NPD
• Elk Grove Cardiology Inc

  • Cardiovascular Disease Physician
  • Sacramento, CA
  • NPI 1780220525
  NPD
• Alleviant Health

  dba Galt Urgent Care

  • Urgent Care Clinic/Center
  • Galt, CA
  • NPI 1770479669
  NPD (past)

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1386315729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 CORREA LN",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919776524",
            "telephone_number": "619-957-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14860 ROSCOE BLVD STE 304",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024695",
            "telephone_number": "747-998-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANAL",
        "first_name": "JENNILYN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95018066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Floyd Bailey, RRT
• Katherine Bailey
• Asha J. Bakhru, MD
• Balouch DDS Corporation
• Ali Balouch, DDS
• Meghana Bandlamuri, MD
• Thomas Danh Bang, RPH
• Sharon J Bangalan, DPM
• Ulysses Villamil Baniga, M.D.
• Nicholas Augustino Barbaglia, DPT

• Psychiatric/Mental Health Nurse Practitioner in Panorama City, CA
• Providers in Panorama City, 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 Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.