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

Maria Delia Dejarme Fortunato, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1174234983

Maria Delia Dejarme Fortunato, PMHNP-BC is a Nurse Practitioner in Los Angeles, California. Qualified in 2022, 4 years ago. Practices with Thrive Psychological Services Inc, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Nevada.

Years since qualifying
4
Licensed in
CA, NV
In the registry since
2022
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

4211 Avalon Blvd
Los Angeles, CA 90011-5622
Phone: (323) 233-0425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 355 S Grand Ave Ste 2450, Los Angeles, CA 90071-9500 — (213) 377-0012

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95023985 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 861500 (NV)

Record details

NPI number1174234983
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedDecember 13, 2022
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Thrive Psychological Services Inc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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