Homecoming Psychiatry Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

HOMECOMING PSYCHIATRY INC

Practice address

1000 S Coast Dr Apt F206
Costa Mesa, CA 92626-7740

Phone

(714) 386-9766

NPI assigned

Mar 1, 2024

Organization subpart

No

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

Authorized official

Name

Anam Gulraiz, PMHNP-BCNPI 1598432320

Title

Ceo

Phone

(714) 386-9766

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HOMECOMING PSYCHIATRY INC. Other name

Locations

Practitioners 1

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

• Anam Gulraiz, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Costa Mesa, CA
  • NPI 1598432320

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1700643111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BAYVIEW CIR STE 104",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602948",
            "telephone_number": "714-386-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S COAST DR APT F206",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267740",
            "telephone_number": "714-386-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECOMING PSYCHIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "GULRAIZ",
        "authorized_official_first_name": "ANAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-386-9766",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598432320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOMECOMING PSYCHIATRY INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Costa Mesa, CA
• Providers in Costa Mesa, 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 Nov 22, 2024; 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.