FORTITUDE MENTAL HEALTH PROFESSIONAL NURSING CORPORATION – NPI #1538015193
Clinic/Center

FORTITUDE MENTAL HEALTH PROFESSIONAL NURSING CORPORATION is an AHC clinic located in HUNTINGTON BEACH, CA. NPPES has assigned the NPI number 1538015193 to FORTITUDE MENTAL HEALTH PROFESSIONAL NURSING CORPORATION on March 06, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was last updated on Apr 15, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FORTITUDE MENTAL HEALTH PROFESSIONAL NURSING CORPORATION below.

NPI Profile for
FORTITUDE MENTAL HEALTH PROFESSIONAL NURSING CORPORATION

NPI Number
1538015193
Enumeration Date

(about 3 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FORTITUDE MENTAL HEALTH PROFESSIONAL NURSING CORPORATION
Primary location
5331 EL DORADO DR
HUNTINGTON BEACH, CA 92649-4567
Phone: (949) 775-1785 Fax:
1 Other location(s):
17011 Beach Blvd Ste 900
Huntington Beach, CA 92647-5998
Phone: (714) 396-9366
Mailing address
17011 BEACH BLVD STE 900
PMB 850
HUNTINGTON BEACH, CA 92647-5998
Phone: Fax:
Organization Subpart
No
Authorized Official
NICOLE CHITTUM
CEO / NURSE PRACTITIONER
Phone: (949) 775-1785
Updated
Certification Date
Apr 15, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)
363LP0808X
- Nurse Practitioner / Psychiatric/Mental Health
261QM0850X
- Clinic/Center / Adult Mental Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.