Organization Active NPI

Smile Squared Psychiatry, a Nursing Professional Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1467252379
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SMILE SQUARED PSYCHIATRY, A NURSING PROFESSIONAL CORPORATION
Practice address
1334 Westwood Blvd Ste 2B
Los Angeles, CA 90024-4951
Phone
(517) 303-2869
NPI assigned
Mar 18, 2025
Last updated
Mar 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Jung Hwan HyunNPI 1326827171
Title
Ceo & President
Phone
(517) 303-2869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1334 Westwood Blvd Ste 2B
Los Angeles, CA 90024-4951

Mailing address

10966 Rochester Ave Apt 405
Los Angeles, CA 90024-6272
Phone (517) 303-2869

Other practice location 1

10966 Rochester Ave Apt 405
Los Angeles, CA 90024-6272
Phone (517) 303-2869

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1467252379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10966 ROCHESTER AVE APT 405",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900246272",
            "telephone_number": "517-303-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 WESTWOOD BLVD STE 2B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244951",
            "telephone_number": "517-303-2869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10966 Rochester Ave Apt 405",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900246272",
            "country_code": "US",
            "telephone_number": "517-303-2869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMILE SQUARED PSYCHIATRY, A NURSING PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "HYUN",
        "authorized_official_first_name": "JUNG HWAN",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "517-303-2869"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.