Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Hagop Jack Mkroyan, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1104479179

Hagop Jack Mkroyan, PMHNP is a Nurse Practitioner in Glendale, California. Qualified in 2019, 7 years ago. Practices with Penciu Medical APMC, a 2-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Nevada.

Years since qualifying
7
Licensed in
CA, NV
In the registry since
2019
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

1111 N Brand Blvd Ste 312
Glendale, CA 91202-3071
Phone: (323) 230-0017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2667 Camino Del Rio S Ste 301-8, San Diego, CA 92108-3707 — (888) 909-8676

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95012171 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 841786 (NV)

Record details

NPI number1104479179
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedJuly 18, 2019
Last updated in NPPESApril 26, 2024
Certification dateApril 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Penciu Medical Apmc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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