Individual provider Active NPI

Roselia Contreras

  • Psychiatric/Mental Health Nurse Practitioner
  • Van Nuys, CA
National Provider Identifier
1962071639
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95024905 Issued in CA
Practice address
14407 Hamlin St
Van Nuys, CA 91401-6228
Phone
(818) 904-9008
NPI assigned
Jun 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95149575 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95024905 CA Primary

Addresses

Primary practice location

14407 Hamlin St
Van Nuys, CA 91401-6228

Mailing address

12765 Judd St
Pacoima, CA 91331-1381
Phone (818) 239-6852

Other practice location 1

6851 Lennox Ave Ste 105
Van Nuys, CA 91405-4073
Phone (866) 557-7924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230814000564 CA Practitioner - Nurse Practitioner 6507228244 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95149575CAMDRegistered Nurse
95024905CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Mind Health Inc. CurrentSince Aug 25, 2025 Accepting new patients
Pacific Heritage Medical Group Inc CurrentSince Jun 1, 2023 Accepting new patients
Floyd Physicians, LLC PastSince Mar 1, 2021 Accepting new patients

Locations

11145 Tampa Ave
Ste 18A
Porter Ranch, CA 91326
Phone (323) 447-2466

7150 Tampa Ave
Reseda, CA 91335
Phone (818) 757-4447

6851 Lennox Ave
Ste 405
Van Nuys, CA 91405
Phone (866) 557-7924

3625 E Thousand Oaks Blvd
Ste 232
Westlake Village, CA 91362
Phone (818) 518-9715

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1962071639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12765 JUDD ST",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913311381",
            "telephone_number": "818-239-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14407 HAMLIN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016228",
            "telephone_number": "818-904-9008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6851 Lennox Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914054073",
            "country_code": "US",
            "telephone_number": "866-557-7924",
            "fax_number": "833-328-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "ROSELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95149575",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95024905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.