Active NPI
Mandala Psyche Nursing Corp
- Psychiatric/Mental Health Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1588500201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tatiana Molinar, DNP, PMHNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Los Angeles, CA
- NPI 1821225780
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.