Psychiatry and Mental Health, a Physician Assistant Corporation

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

PSYCHIATRY AND MENTAL HEALTH, A PHYSICIAN ASSISTANT CORPORATION

Practice address

17074 Devonshire St
Northridge, CA 91325-1617

Phone

(818) 804-8227

Fax

(888) 801-0607

NPI assigned

Aug 8, 2025

Organization subpart

No

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

Authorized official

Name

Erwin HernandezNPI 1932493699

Title

Vice President

Phone

(818) 804-8227

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

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

• Erwin Cereno Hernandez, PA-C

  • Medical Physician Assistant
  • Northridge, CA
  • NPI 1932493699
  Medicare reassignment Care Compare group NPD Authorized official
• Shane Manalang, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Lynwood, CA
  • NPI 1558648550

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Ethel Antonio, NP

  • Family Nurse Practitioner
  • Westlake Village, CA
  • NPI 1386778967
  Medicare reassignment NPD
• Tiran Ambartsumyan, PSY. D

  • Marriage & Family Therapist
  • Glendale, CA
  • NPI 1770149213
  Medicare reassignment
• Thai Phou

  • Surgical Physician Assistant
  • La Puente, CA
  • NPI 1023319746
  Medicare reassignment
• Leslie Aaron Tsang, D.O.

  • Psychiatry Physician
  • Berkeley, CA
  • NPI 1013045129
  NPD

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1538044565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17074 DEVONSHIRE ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251617",
            "telephone_number": "818-804-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17074 DEVONSHIRE ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251617",
            "telephone_number": "818-804-8227",
            "fax_number": "888-801-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRY AND MENTAL HEALTH, A PHYSICIAN ASSISTANT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ERWIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "818-804-8227"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Lifecare Hospice, Inc.
• Stefanie A Proia, CPNP
• Crystal Prosper
• Prosperous Hospice Care Inc
• Luke Provchy
• Psychological Treatment Services Inc
• Adrianna Puente, MA
• Pure Healing Home Care
• Pure Health and Wellness
• Pure Home Health Agency

• Physician Assistant in Northridge, CA
• Providers in Northridge, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.