Individual provider Active NPI

Mujidat Adetola Yusuf, MSN, RN, CNP-BC, PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1205797073
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209033214 Issued in IL
Practice address
18 E 41St St
New York, NY 10017-6222
Phone
(877) 803-5342
Fax
(917) 477-6852
NPI assigned
Nov 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 407890 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1226794 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209033214 IL Primary

Addresses

Primary practice location

18 E 41St St
New York, NY 10017-6222

Mailing address

210 N Hammes Ave Ste 205
Joliet, IL 60435-8139
Phone (347) 283-4703

Other practice location 1

210 N Hammes Ave Ste 205
Joliet, IL 60435-8139
Phone (347) 283-4703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260317000799 IL Practitioner - Nurse Practitioner 4688157704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Hub LLCGroup PAC ID 3274817481, 16 clinicians

Practice addresses (Care Compare)

1909 Ogden Ave
Suite a
Downers Grove, IL 60515-2602
Phone (630) 750-7920

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
209033214ILMDPsychiatric/Mental Health Nurse Practitioner
407890NYMDPsychiatric/Mental Health Nurse Practitioner
1226794TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Hub, LLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

1909 Ogden Ave
Ste A
Downers Grove, IL 60515
Phone (630) 750-7920

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1205797073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N HAMMES AVE STE 205",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358139",
            "telephone_number": "347-283-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E 41ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176222",
            "telephone_number": "877-803-5342",
            "fax_number": "917-477-6852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 N Hammes Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604358139",
            "country_code": "US",
            "telephone_number": "347-283-4703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUSUF",
        "first_name": "MUJIDAT",
        "middle_name": "ADETOLA",
        "name_prefix": "Ms.",
        "credential": "MSN, RN, CNP-BC, PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-20",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407890",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1226794",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209033214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.