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 Los Angeles, CA

Active since August 07, 2026
2180 S BEVERLY GLEN BLVD, LOS ANGELES, CA 90025(323) 370-4917(323) 372-3127 Get Directions Write a Review

NPPES record added: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 21, 2026, Aug 7, 2026 (2 updates tracked since 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 Los Angeles, 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 Address2180 S BEVERLY GLEN BLVDLos Angeles, CA 90025-6048
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
Last NPPES UpdateAugust 21, 20262 updates tracked since enumeration
NPPES CertifiedAugust 21, 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
2180 S BEVERLY GLEN BLVD, Los Angeles, CA 90025

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
2180 S BEVERLY GLEN BLVD
LOS ANGELES, CA 90025

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 2180 S Beverly Glen Blvd, Los Angeles, CA 90025. 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 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.