Jaqueline Alexis Gorodetsky is a Oak Park, California based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Jaqueline Alexis Gorodetsky is 95027727 for Psych/Mental Health in California. Her current practice location is 499 Pesaro St, Oak Park. Patients can reach her at 323-842-6860 with specialization in Psych/Mental Health 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.
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:
02 Feb, 2024
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
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 499 Pesaro St, Oak Park, California
Zip:
91377-4838
Patients can reach Jaqueline Alexis Gorodetsky at 499 Pesaro St, Oak Park, California or can call to book an appointment on 323-842-6860.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.