Jaqueline Alexis Gorodetsky
PMHNP | Nurse Practitioner - Psych/Mental Health
14860 Roscoe Blvd Ste 307, Panorama City
California, 91402-4691
818-616-2122
Jaqueline Alexis Gorodetsky is a Panorama City, California based nurse practitioner who is specialized as Psych/Mental Health NP. Active license number of Jaqueline Alexis Gorodetsky is 95027727 for Psych/Mental Health NP in California. Her current practice location is 14860 Roscoe Blvd Ste 307, Panorama City. Patients can reach her at 818-616-2122. Jaqueline Alexis Gorodetsky is PMHNP with specialization in Psych/Mental Health NP and her NPI number (Unique professional ID assigned by NPPES) is 1619730660.
Jaqueline Alexis Gorodetsky provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Jaqueline Alexis Gorodetsky speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jaqueline Alexis Gorodetsky |
| Specialization: | Nurse Practitioner - Psych/Mental Health (PMHNP) |
| Gender: | Female |
| Credentials: | PMHNP |
| Practice Address: | 14860 Roscoe Blvd Ste 307, Panorama City,
California, 91402-4691 |
| Phone: | 818-616-2122 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1619730660 |
| NPI Enumeration Date: | 02 Feb, 2024 |
| NPI Last Update On: | 01 Jan, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jaqueline Alexis Gorodetsky are as mentioned below.
| License Number | Specialization | State | Status | |
| 95027727 | Psych/Mental Health NP | California | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jaqueline Alexis Gorodetsky
14860 Roscoe Blvd Ste 307,
Panorama City, California |
| Zip: | 91402-4691 |
Patients can reach Jaqueline Alexis Gorodetsky at
14860 Roscoe Blvd Ste 307, Panorama City, California or can
call to book an appointment on 818-616-2122.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.