Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
FORTITUDE MENTAL HEALTH GROUP PROFESSIONAL NURSING CORPORATION
Active
Organization
FORTITUDE MENTAL HEALTH GROUP PROFESSIONAL NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CHITTUM NP (CEO / NURSE PRACTITIONER)
(949) 775-1785
Entity
Organization
Contact information
Practice address
5331 EL DORADO DR, HUNTINGTON BEACH, CA 92649-4567
(949) 775-1785
Mailing address
17011 BEACH BLVD STE 900, PMB 850, HUNTINGTON BEACH, CA 92647-5998
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/06/2026
Last updated
07/28/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up