Providence Holistic Healing Advanced Nursing PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PROVIDENCE HOLISTIC HEALING ADVANCED NURSING PC

Practice address

4600 S Tracy Blvd Ste 107
Tracy, CA 95377-8105

Phone

(952) 261-3330

NPI assigned

Aug 3, 2026

Organization subpart

No

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

Authorized official

Name

Maurine B ForcheNPI 1104473016

Title

Pmhnp-C

Phone

(952) 261-3330

Specialties & licenses 2

Addresses

Practitioners 1

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

• Maurine Bonkiyoy Forche, NP

  • Family Nurse Practitioner
  • Fremont, CA
  • NPI 1104473016
  NPD (past) Authorized official

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

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1598688715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 CELADON LN",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953777705",
            "telephone_number": "952-261-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 S TRACY BLVD STE 107",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778105",
            "telephone_number": "952-261-3330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6770 Celadon Ln",
            "address_purpose": "LOCATION",
            "city": "Tracy",
            "state": "CA",
            "postal_code": "953777705",
            "country_code": "US",
            "telephone_number": "209-561-1144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROVIDENCE HOLISTIC HEALING ADVANCED NURSING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "FORCHE",
        "authorized_official_first_name": "MAURINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PMHNP-C",
        "authorized_official_telephone_number": "952-261-3330"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premiercare Skilled Nursing Services
• Jacquelyn Prieto
• Prime Home Physical Therapy P.C.
• Gwendolyn Pringle
• William E. Probst, MD
• Moises Puentes
• Jonathan David Puett
• Salvador Pulido Leyva
• Adamaris Pulido
• Mariah Pulido

• Psychiatry Physician in Tracy, CA
• Providers in Tracy, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.