IndividualActive
Michael Conrad
NPI 1619806080 · Psychiatric/Mental Health Nurse Practitioner · Corona, CA
Provider details
- NPI number
- 1619806080
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 95039039 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1951 Lynwood Cir
Corona, CA 92881-7448
Phone: (951) 751-3605
Street-level locationGet directions
Mailing address
1951 Lynwood Cir
Corona, CA 92881-7448
Registry dates
- Enumerated
- 2026-05-14
- Last updated
- 2026-05-14
- Certified
- 2026-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.