Organization Active NPI

Mandala Psyche Nursing Corp

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1588500201
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MANDALA PSYCHE NURSING CORP
Practice address
1424 W 45TH St
Los Angeles, CA 90062-2040
Phone
(323) 697-7381
Fax
(323) 697-7381
NPI assigned
Apr 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Dr. Tatiana Molinar, DNP, PMHNPNPI 1821225780
Title
Founder/Clinician
Phone
(626) 489-1060

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

1424 W 45TH St
Los Angeles, CA 90062-2040

Mailing address

5630 Venice Blvd Ste 1085
Los Angeles, CA 90019-5127
Phone (626) 489-1060

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": "1777075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1588500201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5630 VENICE BLVD STE 1085",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900195127",
            "telephone_number": "626-489-1060",
            "fax_number": "855-295-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 W 45TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900622040",
            "telephone_number": "323-697-7381",
            "fax_number": "323-697-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDALA PSYCHE NURSING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-25",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "MOLINAR",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "FOUNDER/CLINICIAN",
        "authorized_official_telephone_number": "626-489-1060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, PMHNP"
    },
    "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 Apr 27, 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.