# PSYCHIATRIC BEHAVIORAL NURSING CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457202335
- **Authorized official:** MR. MICHAEL NICOLAS (PMHNP-BC)
- **Authorized official phone:** (562) 304-5150

## Contact information

- **Practice address:** 2501 E CHAPMAN AVE STE 107-C, FULLERTON, CA 92831-3132
- **Practice address phone:** (562) 304-5150
- **Practice address fax:** (562) 317-1073
- **Mailing address:** 2501 E CHAPMAN AVE, FULLERTON, CA 92831-3132
- **Mailing address phone:** (562) 304-5150
- **Mailing address fax:** (562) 317-1073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2026
- **Last updated:** 04/18/2026