Green Waves Psychiatry Nursing Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GREEN WAVES PSYCHIATRY NURSING INC

Practice address

7220 Trade St Ste 215
San Diego, CA 92121-2326

Phone

(858) 727-9056

NPI assigned

Nov 15, 2022

Organization subpart

No

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

Authorized official

Name

Angela Dalkye Han, NPNPI 1629242839

Title

President

Phone

(858) 727-9056

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Angela D Han, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Marcos, CA
  • NPI 1629242839
  NPD Authorized official

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1851000103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10531 4S COMMONS DR STE 166-445",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273517",
            "telephone_number": "858-727-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 TRADE ST STE 215",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212326",
            "telephone_number": "858-727-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN WAVES PSYCHIATRY NURSING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "DALKYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-727-9056",
        "authorized_official_credential": "NP"
    },
    "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": []
}

• Briana Greeley
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• Green Room Psychology Services Incorporation
• Johanna Green-Jacob, NURSE PRACTITIONER
• Acacia Marie Green
• Akia Green
• Allie Nichole Green
• Anquiette Monique Green

• Psychiatric/Mental Health Nurse Practitioner in San Diego, CA
• Providers in San Diego, 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 15, 2022; 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.