Nutrix Care Partners, a Professional Nursing Corporation

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

NUTRIX CARE PARTNERS, A PROFESSIONAL NURSING CORPORATION

Practice address

1111 N Brand Blvd Ste 312
Glendale, CA 91202-3071

Phone

(323) 230-0017

NPI assigned

May 22, 2023

Last updated

Jun 8, 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

Hagop MkroyanNPI 1104479179

Title

Ceo

Phone

(818) 317-7741

Specialties & licenses 1

Addresses

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.

• Hagop Jack Mkroyan, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, CA
  • NPI 1104479179
  NPD Authorized official

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1578255261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N CHEVY CHASE DR APT E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064560",
            "telephone_number": "818-317-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N BRAND BLVD STE 312",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023071",
            "telephone_number": "323-230-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRIX CARE PARTNERS, A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "MKROYAN",
        "authorized_official_first_name": "HAGOP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-317-7741"
    },
    "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": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Glendale, CA
• Providers in Glendale, 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 Jun 8, 2023; 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.