Individual provider Active NPI

Patience Ennih Morikang, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Stockton, CA
National Provider Identifier
1689349698
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2021040224 Issued in CA
Practice address
1111 W Robinhood Dr Ste L
Stockton, CA 95207-5626
Phone
(844) 867-8444
NPI assigned
Aug 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2021040224 CA Primary

Addresses

Primary practice location

1111 W Robinhood Dr Ste L
Stockton, CA 95207-5626

Mailing address

1111 W Robinhood Dr Ste L
Stockton, CA 95207-5626
Phone (844) 867-8444

Other names 1

  • Patience Ennih Young Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20211220001356 CA Practitioner - Nurse Practitioner 0143611574 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Sondermind PCGroup PAC ID 0547795791, 64 clinicians

Practice addresses (Care Compare)

Walnut Creek, CA 94596
Phone (866) 630-0966

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021040224CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind PC Psychiatric/Mental Health CurrentSince Aug 1, 2025 Accepting new patients
Mindful Health Solutions a Professional Medical Corporation CurrentSince Aug 31, 2021 Accepting new patients
Universal Mental Health Services Nursing, PC Psychiatric/Mental Health CurrentSince Sep 18, 2024 Accepting new patients

Locations

3300 Webster St
Ste 803
Oakland, CA 94609

360 Post St
Ste 500
San Francisco, CA 94108
Phone (415) 671-6819

1111 W Robinhood Dr
Ste L
Stockton, CA 95207
Phone (209) 952-0821

2311 N Tracy Blvd
Ste A
Tracy, CA 95376
Phone (209) 640-4179

2311 N Tracy Blvd
Tracy, CA 95376
Phone (209) 425-2778

27240 Turnberry Ln
Ste 200
Valencia, CA 91355
Phone (661) 289-6992

1460 Maria Ln
Ste 300
Walnut Creek, CA 94596
Phone (510) 214-3980

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1689349698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W ROBINHOOD DR STE L",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075626",
            "telephone_number": "844-867-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W ROBINHOOD DR STE L",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075626",
            "telephone_number": "844-867-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIKANG",
        "first_name": "PATIENCE",
        "middle_name": "ENNIH",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "2021040224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATIENCE",
            "last_name": "YOUNG",
            "middle_name": "ENNIH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.