Provider Demographics
NPI:1609365824
Name:ANCHORED PSYCHIATRIC NURSING SERVICES, INC.
Entity Type:Organization
Organization Name:ANCHORED PSYCHIATRIC NURSING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:714-617-2530
Mailing Address - Street 1:14081 YORBA ST STE 105
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-2050
Mailing Address - Country:US
Mailing Address - Phone:714-617-2530
Mailing Address - Fax:714-617-2587
Practice Address - Street 1:14081 YORBA ST STE 105
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-2050
Practice Address - Country:US
Practice Address - Phone:714-617-2530
Practice Address - Fax:714-617-2587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-03
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA197225OtherBUSINESS LICENSE