Pro Health Psychiatry Nursing Corporation

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PRO HEALTH PSYCHIATRY NURSING CORPORATION

Practice address

1 Park PLZ Ste 600
Irvine, CA 92614-5987

Phone

(949) 828-1546

NPI assigned

Oct 30, 2023

Organization subpart

No

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

Authorized official

Name

Jacob Olsen, PMHNPNPI 1336841204

Title

Ceo

Phone

(562) 833-0518

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.

• Jacob Olsen, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Irvine, CA
  • NPI 1336841204
  NPD Authorized official

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1932972247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4533 MACARTHUR BLVD STE A-2068",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602059",
            "telephone_number": "562-833-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARK PLZ STE 600",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145987",
            "telephone_number": "949-828-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO HEALTH PSYCHIATRY NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-833-0518",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob W Prince
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• Progeny Mental & Behavioral Health

• Psychiatric/Mental Health Nurse Practitioner in Irvine, CA
• Providers in Irvine, 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 Mar 6, 2026; 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.