Organization
PSYCHIATRIC BEHAVIORAL NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL NICOLAS (PMHNP-BC)
(562) 304-5150
Entity
Organization
Contact information
Practice address
2501 E CHAPMAN AVE STE 107-C, FULLERTON, CA 92831-3132
(562) 304-5150
(562) 317-1073
Mailing address
2501 E CHAPMAN AVE, FULLERTON, CA 92831-3132
(562) 304-5150
(562) 317-1073
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/05/2026
Last updated
04/18/2026
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