Organization Active NPI

Jeeirene Advanced Nursing, Inc

Doing business as ChristalMind InnerJee

  • Psychiatry Physician
  • Fallbrook, CA
National Provider Identifier
1619815958
Registry record updated Apr 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
JEEIRENE ADVANCED NURSING, INC
Doing business as
ChristalMind InnerJee
Practice address
362 Pippin Dr
Fallbrook, CA 92028-3485
Phone
(442) 637-2634
Fax
(760) 557-7428
NPI assigned
Mar 24, 2026
Last updated
Apr 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2026

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

Authorized official

Name
Jee Estavilla, PMHNP-BCNPI 1982352803
Title
President
Phone
(442) 637-2634

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
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

362 Pippin Dr
Fallbrook, CA 92028-3485

Mailing address

1968 S Coast Hwy # 4580
Laguna Beach, CA 92651-3681
Phone (442) 637-2634

Other names 1

  • ChristalMind InnerJee Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776470400000",
    "number": "1619815958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 S COAST HWY # 4580",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513681",
            "telephone_number": "442-637-2634",
            "fax_number": "760-557-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 PIPPIN DR",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283485",
            "telephone_number": "442-637-2634",
            "fax_number": "760-557-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEEIRENE ADVANCED NURSING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "status": "A",
        "authorized_official_last_name": "ESTAVILLA",
        "authorized_official_first_name": "JEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "442-637-2634",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChristalMind InnerJee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fallbrook, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.