Mentally Healthy LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MENTALLY HEALTHY LLC

Practice address

12611 Artesia Blvd Apt 119
Cerritos, CA 90703-8680

Phone

(323) 568-9184

NPI assigned

Oct 20, 2023

Last updated

Oct 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Noah Kojo PeterNPI 1043927684

Title

Owner

Phone

(323) 568-9184

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NV2 enrollments

Enrollment records 2

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.

• Noah Kojo Peter

  • Psychiatric/Mental Health Nurse Practitioner
  • Culver City, CA
  • NPI 1043927684

  NV

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1568244853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12611 ARTESIA BLVD APT 119",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12611 ARTESIA BLVD APT 119",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038680",
            "telephone_number": "323-568-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTALLY HEALTHY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "PETER",
        "authorized_official_first_name": "NOAH",
        "authorized_official_middle_name": "KOJO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-568-9184"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Mendoza
• Maria Mendoza
• Miaroma Ireneroghi Mendoza
• Adamaris Meneses
• Keisuke Menjo, NP-C
• Ruth Mercado
• Madyson Merced
• David Mercier, LCSW
• Tennessee Love Meris, GNP
• Mespace

• Psychiatric/Mental Health Nurse Practitioner in Cerritos, CA
• Providers in Cerritos, 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 Oct 20, 2023; 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.