Psychiatric Behavioral Wellness

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PSYCHIATRIC BEHAVIORAL WELLNESS

Practice address

3556 Dartmouth LN
Rowland Hghts, CA 91748-5136

Phone

(562) 304-5150

Fax

(565) 623-1710

NPI assigned

Dec 18, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Revmax Technologies

Title

Enrollment Manager

Phone

(720) 784-9413

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.

• Michael A Nicolas, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fullerton, CA
  • NPI 1497284202
  NPD

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

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1629933924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3556 DARTMOUTH LN",
            "city": "ROWLAND HGHTS",
            "state": "CA",
            "postal_code": "917485136",
            "telephone_number": "562-304-5150",
            "fax_number": "565-623-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3556 DARTMOUTH LN",
            "city": "ROWLAND HGHTS",
            "state": "CA",
            "postal_code": "917485136",
            "telephone_number": "562-304-5150",
            "fax_number": "565-623-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC BEHAVIORAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "TECHNOLOGIES",
        "authorized_official_first_name": "REVMAX",
        "authorized_official_title_or_position": "ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "720-784-9413",
        "authorized_official_name_prefix": "Mr."
    },
    "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": []
}

• Anna Cheng MD Inc
• Colima Optometry Inc
• Steve Elder
• Fineflow Inc
• RH Medical Group Inc
• Thomas Albert Roach

• Psychiatric/Mental Health Nurse Practitioner in Rowland Hghts, CA
• Providers in Rowland Hghts, 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 Dec 18, 2025; 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.