PRIDE PSYCHIATRY SERVICES
NPI 1669298527
Nurse Practitioner - Psychiatric/Mental Health in Encino, CA

Active since November 25, 2024
15720 VENTURA BLVD STE 528, ENCINO, CA 91436(818) 736-8642 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pride Psychiatry Services NPPES

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

PRIDE PSYCHIATRY SERVICES (NPI 1669298527) is a healthcare organization registered as a psychiatric/mental health in Encino, California and active in the NPI registry since November 2024. The organization lists Adilson Kiefer, Aprn, as its authorized official.

NPPES Registry Identity

NPI1669298527
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePRIDE PSYCHIATRY SERVICES
Location Address15720 VENTURA BLVD STE 528Encino, CA 91436-2936
Mailing Address15720 Ventura Blvd Ste 528Encino, CA 91436-2936 · (818) 736-8642
Organization SubpartNo
Authorized OfficialAdilson KieferAprn · (818) 736-8642
Enumeration DateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
✔ NPI 1669298527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
15720 VENTURA BLVD STE 528, Encino, CA 91436

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pride Psychiatry Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pride Psychiatry Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1871206250
15720 VENTURA BLVD STE 528
Encino, CA 91436
(818) 736-8642
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pride Psychiatry Services's NPI number?

The NPI number for Pride Psychiatry Services is 1669298527. It was assigned to this organization in the NPPES registry on November 25, 2024.

Where is Pride Psychiatry Services located?

Pride Psychiatry Services is located at 15720 Ventura Blvd Ste 528, Encino, CA 91436. The listed phone number is (818) 736-8642.

What is Pride Psychiatry Services's specialty?

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

Is Pride Psychiatry Services enrolled in Medicare?

Yes. Pride Psychiatry Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pride Psychiatry Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Pride Psychiatry Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pride Psychiatry Services was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.