# PRO HEALTH PSYCHIATRY NURSING CORPORATION

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

## Provider details

- **NPI number:** 1932972247
- **Authorized official:** JACOB OLSEN PMHNP (CEO)
- **Authorized official phone:** (562) 833-0518

## Contact information

- **Practice address:** 1 PARK PLZ STE 600, IRVINE, CA 92614-5987
- **Practice address phone:** (949) 828-1546
- **Mailing address:** 4533 MACARTHUR BLVD STE A-2068, NEWPORT BEACH, CA 92660-2059
- **Mailing address phone:** (562) 833-0518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/30/2023
- **Last updated:** 03/06/2026