Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAQUELINE ALEXIS GORODETSKY, PMHNP
Active Sole ProprietorJAQUELINE ALEXIS GORODETSKY, PMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in PANORAMA CITY, California. NPI 1619730660 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · PANORAMA CITY, CA
Registration Details
- NPI Number
- 1619730660
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 2, 2024 (2.4887693905109 yrs)
- Last Updated
- Jan 1, 2026
- License
-
95027727 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14860 ROSCOE BLVD STE 307PANORAMA CITY, CA, 914024691Browse CA providers · Browse ZIP 91402
- Phone
- 8186162122
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in PANORAMA CITY, CA
| Name | Credential | NPI |
|---|---|---|
| DONARA GASANOVA | PMHNP-BC | 1073809067 |
| JENNILYN BANAL | PMHNP | 1386315729 |
| KARIMA IBRAHIM | PMHNP-BC | 1922780188 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.