ASTRAVANT PSYCHIATRY NURSING PROFESSIONAL CORPORATION
NPI 1801614003
Nurse Practitioner - Psychiatric/Mental Health in Fullerton, CA

Active since September 27, 2024
112 E AMERIGE AVE STE 308, FULLERTON, CA 92832(949) 438-2288 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2024, Sep 27, 2024 (2 updates tracked since 2024).

About Astravant Psychiatry Nursing Professional Corporation NPPES

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

ASTRAVANT PSYCHIATRY NURSING PROFESSIONAL CORPORATION (NPI 1801614003) is a healthcare organization registered as a psychiatric/mental health in Fullerton, California and active in the NPI registry since September 2024. The organization lists Vinessa Gaerlan-finch, Owner, as its authorized official.

NPPES Registry Identity

NPI1801614003
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameASTRAVANT PSYCHIATRY NURSING PROFESSIONAL CORPORATION
Location Address112 E AMERIGE AVE STE 308Fullerton, CA 92832-1920
Mailing Address112 E Amerige Ave Ste 308Fullerton, CA 92832-1920 · (949) 438-2288
Organization SubpartNo
Authorized OfficialVinessa Gaerlan-finchOwner · (949) 438-2288
Enumeration DateSeptember 27, 2024
Last NPPES UpdateOctober 7, 20242 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1801614003 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
112 E AMERIGE AVE STE 308, Fullerton, CA 92832

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)

Astravant Psychiatry Nursing Professional Corporation 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 Astravant Psychiatry Nursing Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1275729329
29982 IVY GLENN DR STE 203
Laguna Niguel, CA 92677
(949) 309-7903
✔ PECOS✔ Accepts Medicare27 mi

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 Astravant Psychiatry Nursing Professional Corporation's NPI number?

The NPI number for Astravant Psychiatry Nursing Professional Corporation is 1801614003. It was assigned to this organization in the NPPES registry on September 27, 2024.

Where is Astravant Psychiatry Nursing Professional Corporation located?

Astravant Psychiatry Nursing Professional Corporation is located at 112 E Amerige Ave Ste 308, Fullerton, CA 92832. The listed phone number is (949) 438-2288.

What is Astravant Psychiatry Nursing Professional Corporation's specialty?

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

Is Astravant Psychiatry Nursing Professional Corporation enrolled in Medicare?

Yes. Astravant Psychiatry Nursing Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Astravant Psychiatry Nursing Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Astravant Psychiatry Nursing Professional Corporation. 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 Astravant Psychiatry Nursing Professional Corporation was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.