Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PHOENIX MENTAL HEALTH SERVICES LLC
NPI 1083538532
Nurse Practitioner - Psychiatric/Mental Health in Culver City, CA

Active since August 07, 2026
10000 WASHINGTON BLVD, CULVER CITY, CA 90232(323) 370-4917(323) 372-3127 Get Directions Write a Review

NPPES record added: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phoenix Mental Health Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX MENTAL HEALTH SERVICES LLC (NPI 1083538532) is a healthcare organization registered as a psychiatric/mental health in Culver City, California and active in the NPI registry since August 2026. The organization lists Meagan Victoria Jean Pruden, Owner, as its authorized official.

NPPES Registry Identity

NPI1083538532
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePHOENIX MENTAL HEALTH SERVICES LLC
Location Address10000 WASHINGTON BLVDCulver City, CA 90232-2781
Mailing Address10000 Washington BlvdCulver City, CA 90232-2781 · (323) 370-4917 · Fax (323) 372-3127
Fax(323) 372-3127
Organization SubpartNo
Authorized OfficialMeagan Victoria Jean PrudenOwner · (323) 370-4917
Enumeration DateAugust 7, 2026
NPPES CertifiedAugust 6, 2026
NPI 1083538532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
10000 WASHINGTON BLVD, Culver City, CA 90232

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Mental Health Services LLC's NPI number?

The NPI number for Phoenix Mental Health Services LLC is 1083538532. It was assigned to this organization in the NPPES registry on August 7, 2026.

Where is Phoenix Mental Health Services LLC located?

Phoenix Mental Health Services LLC is located at 10000 Washington Blvd, Culver City, CA 90232. The listed phone number is (323) 370-4917.

What is Phoenix Mental Health Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Phoenix Mental Health Services LLC was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.