Jaqueline Alexis Gorodetsky, PMHNP
Jaqueline Alexis Gorodetsky, PMHNP is a Nurse Practitioner in Panorama City, California. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in California.
- Years since qualifying
- 3
- Licensed in
- CA
- In the registry since
- 2024
What do these letters mean?
- PMHNP — Psychiatric-Mental Health Nurse Practitioner
- A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.
Practice location Address checks out
14860 Roscoe Blvd Ste 307Panorama City, CA 91402-4691
Phone: (818) 616-2122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 95027727 (CA) |
|---|
Record details
| NPI number | 1619730660 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PMHNP |
| Sole proprietor | Yes |
| NPI enumerated | February 2, 2024 |
| Last updated in NPPES | January 1, 2026 |
| Certification date | January 1, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |
Other providers in Panorama City
-
Jennilyn Banal, PMHNP
14860 Roscoe Blvd Ste 304, Panorama City, CA 91402-4695 · (747) 998-0387
-
Karima Ibrahim, PMHNP-BC
14850 Roscoe Blvd, Panorama City, CA 91402-4677 · (818) 787-2222
-
Miss. Elizabeth Maratovna Khavkina, PMHNP-BC
14860 Roscoe Blvd Ste 307, Panorama City, CA 91402-4691 · (818) 616-2122
-
Gabriel Rosenbloom
14860 Roscoe Blvd Ste 306, Panorama City, CA 91402-7903 · (818) 616-2122