Michelle Habrusiev, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95021862 Issued in CA

Practice address

830 Stewart Dr Ste 271
Sunnyvale, CA 94085-4513

Phone

(408) 400-3967

Fax

(408) 413-1051

NPI assigned

Oct 23, 2019

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 21, 2024 through May 21, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michelle.kluczinske@94504051539972.direct.elationemr.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.

• Elevating Mental Health, a Professional Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Sunnyvale, CA
  • NPI 1306693593
  NPD Authorized official
• Central New York Services, Inc.

  • Multi-Specialty Clinic/Center
  • Utica, NY
  • NPI 1407363492
  NPD (past)

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753574400000",
    "number": "1114560182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 STEWART DR STE 271",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940854513",
            "telephone_number": "408-400-3967",
            "fax_number": "408-413-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 STEWART DR STE 271",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940854513",
            "telephone_number": "408-400-3967",
            "fax_number": "408-413-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABRUSIEV",
        "first_name": "MICHELLE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2025-07-27",
        "certification_date": "2025-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "712240",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404183",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95021862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tanya Gupta, MD
• Jacqueline Guzman, LAC,
• H Karen Park, DDS, Dental Corp
• Beth Habelow, PT, DPT
• Nahid Hadameh, D.D.S
• Xu Hadig
• Michelle Hahn, DDS
• Allison Hale
• Daniel Keith Hamilton, OT

• Psychiatric/Mental Health Nurse Practitioner in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.