Organization Active NPI

Fortitude Mental Health Group Professional Nursing Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Huntington Beach, CA
National Provider Identifier
1538015193
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FORTITUDE MENTAL HEALTH GROUP PROFESSIONAL NURSING CORPORATION
Practice address
5331 El Dorado Dr
Huntington Beach, CA 92649-4567
Phone
(949) 775-1785
NPI assigned
Mar 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Nicole Chittum, NPNPI 1093530149
Title
Ceo / Nurse Practitioner
Phone
(949) 775-1785

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

5331 El Dorado Dr
Huntington Beach, CA 92649-4567

Mailing address

17011 Beach Blvd Ste 900
PMB 850
Huntington Beach, CA 92647-5998

Other practice location 1

17011 Beach Blvd Ste 900
Huntington Beach, CA 92647-5998
Phone (714) 396-9366

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.

NPI Registry JSON

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

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1538015193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17011 BEACH BLVD STE 900",
            "address_2": "PMB 850",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 EL DORADO DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494567",
            "telephone_number": "949-775-1785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17011 Beach Blvd Ste 900",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926475998",
            "country_code": "US",
            "telephone_number": "714-396-9366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FORTITUDE MENTAL HEALTH GROUP PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "CHITTUM",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO / NURSE PRACTITIONER",
        "authorized_official_telephone_number": "949-775-1785",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.