Susan Hathazi Mahnovski, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95037483 Issued in CA

Practice address

180 S Lake Ave Ste 615
Pasadena, CA 91101-4763

Phone

(310) 488-0329

NPI assigned

Nov 17, 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

Other names 1

• Dodi Mahnovski Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1821958356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 S LAKE AVE STE 615",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911014763",
            "telephone_number": "310-488-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S LAKE AVE STE 615",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911014763",
            "telephone_number": "310-488-0329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 N Brand Blvd Ste 460",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912031259",
            "country_code": "US",
            "telephone_number": "310-488-0329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHNOVSKI",
        "first_name": "SUSAN",
        "middle_name": "HATHAZI",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95037483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DODI",
            "last_name": "MAHNOVSKI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paul Dennis Maher, MD
• Mathieu Mahinan
• Asif Mahmood, M.D
• Haad Mahmood, M.D.
• Natasha Mahnovski, PH.D.
• Edward Mahoney
• Michelle Mahtani
• Amanda Mai
• Phuc Mai, PHARMD
• Richard Allen Maiden II

• Psychiatric/Mental Health Nurse Practitioner in Pasadena, CA
• Providers in Pasadena, 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 17, 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.