STACIE B DOURTHE MSN, APRN, PMHNP-BC
NPI 1861112203
Nurse Practitioner - Psychiatric/Mental Health in Encino, CA

Active since August 29, 2022
4346 EMPRESS AVE, ENCINO, CA 91436(805) 797-6495 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2023, Aug 29, 2022 (2 updates tracked since 2022).

About Stacie B Dourthe Msn, Aprn, Pmhnp-bc NPPES

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

STACIE B DOURTHE MSN, APRN, PMHNP-BC (NPI 1861112203) is an individual psychiatric/mental health provider in Encino, California, licensed in California (95028676) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1861112203
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSTACIE B DOURTHECredential: MSN, APRN, PMHNP-BC
Location Address4346 EMPRESS AVEEncino, CA 91436-3507
Mailing Address4346 Empress AveEncino, CA 91436-3507 · (805) 797-6495
Sole ProprietorYes
Enumeration DateAugust 29, 2022
Last NPPES UpdateJanuary 23, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2024
NPI 1861112203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95028676
Also ListedRegistered NurseTaxonomy 163W00000X · License 577105 (CA)
Also ListedClinical Nurse SpecialistTaxonomy 364S00000X · License 2200 (CA)
4346 EMPRESS AVE, Encino, CA 91436

Other Providers at the Same Location NPPES

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

Community Based Residential Treatment Facility, Mental Illness
4346 EMPRESS AVE
ENCINO, CA 91436

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 Stacie Dourthe's NPI number?

The NPI number for Stacie Dourthe is 1861112203. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Where is Stacie Dourthe located?

Stacie Dourthe practices at 4346 Empress Ave, Encino, CA 91436. The listed phone number is (805) 797-6495.

What is Stacie Dourthe'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 Stacie Dourthe was last updated on January 23, 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.