Tanisha Lorie McLean, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95032378 Issued in CA

Practice address

18411 Crenshaw Blvd Ste 320
Torrance, CA 90504-5044

Phone

(877) 679-8344

NPI assigned

Jan 2, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neuro Wellness Spa, a Medical PC

  • Psychiatry Physician
  • Manhattan Beach, CA
  • NPI 1003394149
  NPD (past)

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1821807082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 W REDONDO BEACH BLVD UNIT 2491",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902476527",
            "telephone_number": "424-237-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18411 CRENSHAW BLVD STE 320",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045044",
            "telephone_number": "877-679-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "TANISHA",
        "middle_name": "LORIE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95032378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Alexander McKinnell, M.D.
• Kelly Marie McKinney
• Madison McKinnon
• Samantha McKinnon, APRN, NP-C
• John K McKissock, MD
• Emma Mae McLeod
• James McLindon, LMFT
• Chudney Dorise McLyn
• Heidi McMahan
• Kelly Ann McMahon

• Psychiatric/Mental Health Nurse Practitioner in Torrance, CA
• Providers in Torrance, 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 Jan 20, 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.