Individual provider Active NPI

Michael They, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Modesto, CA
National Provider Identifier
1134699218
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP95010524 Issued in CA
Practice address
1608 Tully Rd
Modesto, CA 95350-4031
Phone
(866) 240-8517
Fax
(209) 497-8337
NPI assigned
Nov 30, 2018
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95010524 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP95010524 CA Primary
Pain Management Registered Nurse 163WP0000X NP95010524 CA

Addresses

Primary practice location

1608 Tully Rd
Modesto, CA 95350-4031

Mailing address

PO Box 578688
Modesto, CA 95357-8688
Phone (866) 240-8517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 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

Enrollment IDStateProvider typePAC IDDetails
I20190424002183 CA Practitioner - Nurse Practitioner 0143568014 Reassigns benefits to 5 organizations
I20250909004445 NV Practitioner - Nurse Practitioner 0143568014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Kaiser Permanente School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1608 Tully Rd
Modesto, CA 95350-4031
Phone (866) 240-8517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95010524CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Current Accepting new patients
County of Solano CurrentSince May 11, 2025 Accepting new patients
4 N Psych, Inc. Current Accepting new patients
County of Solano Current Accepting new patients
County of Solano CurrentSince May 11, 2025 Accepting new patients
Cep America-California CurrentSince Apr 1, 2022 Accepting new patients
Cep America - California CurrentSince Apr 1, 2022 Accepting new patients
Mentalhealthtoday Psychiatric/Mental Health CurrentSince Jun 23, 2025 Accepting new patients
Psychhealing Counseling Center Inc PastSince Apr 6, 2023 Accepting new patients
Regenerative Spine, Pain, and Neuropathy Centers, Inc. PastSince Jun 22, 2021 Accepting new patients
Psychhealing Counseling Center, Inc PastSince Dec 15, 2020 Accepting new patients
Lags Spine and Sportscare Medical Centers, Inc. Past Accepting new patients

Locations

2101 Courage Dr
Fairfield, CA 94533
Phone (707) 428-1131

275 Beck Ave
#5210
Fairfield, CA 94533
Phone (707) 784-8315

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

355 Tuolumne St
Vallejo, CA 94590
Phone (707) 553-5331

3430 E Russell Rd
Ste 301102
Las Vegas, NV 89120
Phone (209) 270-5188

Interoperability endpoints

  • Direct secure messaging: michael.they.1@3550.direct.athenahealth.com
  • Direct secure messaging: michael.they.2@3550.direct.athenahealth.com
  • Direct secure messaging: mthey335315@direct.ochin.org

Organizations & group practices 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1134699218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578688",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953578688",
            "telephone_number": "866-240-8517",
            "fax_number": "209-497-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 TULLY RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504031",
            "telephone_number": "866-240-8517",
            "fax_number": "209-497-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEY",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-30",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95010524",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95010524",
            "primary": true
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "CA",
            "license": "NP95010524",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.