Martha Mukwada, NP-C/PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704259350 Issued in MI

Practice address

220 W Congress St
Detroit, MI 48226-3289

Phone

(269) 267-9763

NPI assigned

Jun 4, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, OH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychplus Medical Associates of Michigan PLLCGroup PAC ID 0840632196, 6 clinicians

Psychplus Associates of Michigan, PLLCGroup PAC ID 7911345764, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: martha.mukwada.1@28492.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psychplus Associates of Michigan, PLLC

  • Psychiatry Physician
  • Dearborn, MI
  • NPI 1053172866

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Psychplus Medical Associates of Michigan, PLLC

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1851144877

  Family

  Medicare reassignment Care Compare group NPD
• CFF Medical & Behavioral Health, LLC

  • Psychiatry Physician
  • Blacklick, OH
  • NPI 1043946163
  Medicare reassignment NPD
• Psychiatry of Texas PLLC

  • Psychiatry Physician
  • Houston, TX
  • NPI 1013476027

  Family, OH

  Medicare reassignment NPD
• Psychplus Medical Associates, PLLC

  • Family Medicine Physician
  • Houston, TX
  • NPI 1558118026

  OH

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MI

  Medicare reassignment NPD
• Sondermind, P.a.

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1710647581

  MI, Psychiatric/Mental Health

  Medicare reassignment NPD
• Inspired Healthcare Services, LLC

  • Home Health Agency
  • Columbus, OH
  • NPI 1134768062
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1093373037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5657 SPRINGRIDGE ST",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241271",
            "telephone_number": "692-677-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W CONGRESS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482263289",
            "telephone_number": "269-267-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKWADA",
        "first_name": "MARTHA",
        "credential": "NP-C/PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "19133140548",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704259350",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704259350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nisada Mujcic, LLMSW
• Zubin Sorab Mukadam, MD
• Monjori Mukerjee, MD
• Abir Lal Mukherjee, M.D.
• Hira Mukhtar, MD
• Deborah Anne Mulawa, CRNA
• Stacey Mulder, DPT
• Alice Mule
• Jennifer Lea Mulkerin, M.D.
• Ebony Mullen

• Psychiatric/Mental Health Nurse Practitioner in Detroit, MI
• Providers in Detroit, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.