Individual provider Active NPI

Kabiite Mukisa, DNP, CNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1144818139
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
404099 Issued in NY
Practice address
405 Main St Ste 515
Houston, TX 77002-1872
Phone
(844) 991-0555
NPI assigned
Jan 5, 2021
Last updated
Nov 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1021153 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404099 NY Primary
Psychiatry Physician 2084P0800X 404099 NY
Child & Adolescent Psychiatry Physician 2084P0804X 1021153 TX

Addresses

Primary practice location

405 Main St Ste 515
Houston, TX 77002-1872

Mailing address

405 Main St Ste 515
Houston, TX 77002-1872
Phone (415) 343-5591

Other practice location 1

26 Court St Ste 808
Brooklyn, NY 11242-1108
Phone (718) 522-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 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
I20210115001406 TX Practitioner - Nurse Practitioner 2567875321 Reassigns benefits to 1 organization
I20230705003030 NY Practitioner - Nurse Practitioner 2567875321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Health Psychiatric Services PCGroup PAC ID 2365789674, 26 clinicians

Practice addresses (Care Compare)

26 Court St
Suite 1510
Brooklyn, NY 11242-0103
Phone (718) 522-3600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
404099NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Psychiatric Services PC Psychiatry CurrentSince May 15, 2023 Accepting new patients
Modern Recovery, Inc. CurrentSince Nov 28, 2021 Accepting new patients
Value NP in Psychiatry PLLC Psychiatric/Mental Health Current Accepting new patients
Allied RX Inc CurrentSince Oct 20, 2024 Accepting new patients
Icon Mental Health Psychiatric/Mental Health Current Accepting new patients
Cerebral Medical Group, a Professional Corporation Psychiatry CurrentSince Aug 10, 2021 Accepting new patients
Rudoy Medical PC Psychiatry Past Accepting new patients
East Point Medical PC Psychiatry Past Accepting new patients

Locations

340 S Lemon Ave
Ste 9892
Walnut, CA 91789
Phone (415) 617-9894

26 Court St
Ste 1510
Brooklyn, NY 11242
Phone (718) 522-3600

26 Court St
Ste 808
Brooklyn, NY 11242
Phone (718) 307-1577

6219 5th Ave
Brooklyn, NY 11220
Phone (718) 307-1577

405 Main St
Ste 515
Houston, TX 77002

1201 Creek Way Dr
Ste C
Sugar Land, TX 77478
Phone (281) 302-6636

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1144818139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MAIN ST STE 515",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770021872",
            "telephone_number": "415-343-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MAIN ST STE 515",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770021872",
            "telephone_number": "844-991-0555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Court St Ste 808",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112421108",
            "country_code": "US",
            "telephone_number": "718-522-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUKISA",
        "first_name": "KABIITE",
        "name_prefix": "Dr.",
        "credential": "DNP, CNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1021153",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404099",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "404099",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "1021153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.