Patrick Murathimi Mutugu, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

28230548A Issued in IN

Practice address

505 N Wabash Ave
Marion, IN 46952-2608

Phone

(765) 662-3971

NPI assigned

Oct 3, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aims, LLC

  • Psychiatry Physician
  • Bremen, IN
  • NPI 1376072785
  Medicare reassignment NPD
• Grant-Blackford Mental Health, Inc.

  dba Radiant Health Services

  • Community/Behavioral Health Agency
  • Marion, IN
  • NPI 1407848500
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  IN, Psychiatric/Mental Health

  Medicare reassignment NPD
• Psychiatry of Texas PLLC

  dba Psychplus Associates

  • Psychiatry Physician
  • Houston, TX
  • NPI 1013476027

  IN, Psychiatric/Mental Health

  Medicare reassignment NPD
• Psychplus Medical Associates, PLLC

  • Family Medicine Physician
  • Houston, TX
  • NPI 1558118026

  IN

  Medicare reassignment NPD
• Indiana United Psych LLC

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1558237693
  Medicare reassignment
• Grant-Blackford Mental Health, Inc.

  dba Radiant Health Services

  • Community/Behavioral Health Agency
  • Marion, IN
  • NPI 1437983103
  NPD
• Grant-Blackford Mental Health, Inc.

  dba Milestone Services

  • Community/Behavioral Health Agency
  • Marion, IN
  • NPI 1497891550
  NPD

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1588205231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12389 DEERVIEW DR",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604671",
            "telephone_number": "317-987-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N WABASH AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522608",
            "telephone_number": "765-662-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTUGU",
        "first_name": "PATRICK",
        "middle_name": "MURATHIMI",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-03",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "IN",
            "license": "28230548A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "28230548A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Mullenix
• Khawar Muneer, M.D.
• Vicki A Murgaw, LMHC, MA
• Richard Sandefur Murphy, D.O.
• Jessica Ranae Musselman, MATS, CADAC II
• Brianna Myers, PTA
• Cody Myers
• Vinodha Nagesh, M.D
• Cassandra Nantz, RBT
• Bryce Nash

• Psychiatric/Mental Health Nurse Practitioner in Marion, IN
• Providers in Marion, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.