Yvon Musanganya Mukunzi, MSN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

249028 Issued in AZ

Practice address

7155 W Campo Bello Dr Ste C120
Glendale, AZ 85308-8594

Phone

(602) 363-0629

Fax

(480) 247-4179

NPI assigned

Jan 25, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, MI, CT, FL4 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 4

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Advanced Telepsych PLLC 7 clinicians

Bronson-Acadia Joint Venture LLC 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

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.

• Advanced Telepsych PLLC

  • Psychiatry Physician
  • Middletown, CT
  • NPI 1508456377

  CT, FL

  Medicare reassignment Care Compare group NPD
• Bronson-Acadia Joint Venture, LLC

  • Psychiatric Hospital
  • Battle Creek, MI
  • NPI 1083337372

  MI

  Medicare reassignment Care Compare group NPD
• Angels Valley Community Healthcare Center PLLC

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1689303117

  AZ

  Medicare reassignment NPD
• Kalamazoo TC Operator LLC

  • Substance Abuse Rehabilitation Facility
  • Kalamazoo, MI
  • NPI 1427803089

  MI

  Medicare reassignment NPD
• Transitions Counseling and Consulting

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glendale, AZ
  • NPI 1326414889

  Psychiatric/Mental Health

  NPD
• Living and Balance Wellness Center LLC

  • Mental Health Counselor
  • Phoenix, AZ
  • NPI 1255907903

  Psychiatric/Mental Health

  NPD (past)
• Health Imperatives Inc.

  • Non-Surgical Family Planning Clinic/Center
  • New Bedford, MA
  • NPI 1013051614
  NPD (past)
• Northeast Neuropsychology, LLC

  • Clinical Neuropsychologist
  • Cheshire, CT
  • NPI 1396991956
  NPD (past)

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739059200000",
    "number": "1699537696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7155 W CAMPO BELLO DR STE C120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088594",
            "telephone_number": "602-363-0629",
            "fax_number": "480-247-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7155 W CAMPO BELLO DR STE C120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088594",
            "telephone_number": "602-363-0629",
            "fax_number": "480-247-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKUNZI",
        "first_name": "YVON",
        "middle_name": "MUSANGANYA",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-25",
        "last_updated": "2025-02-09",
        "certification_date": "2025-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704366596",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "101.0136887",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704366596",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "249028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amy Mullenix
• Olivia Mulligan, BCBA, LBA
• Heather Chakos Mulno, M.S.-CSP
• Ines Kirubusa Mulongo

• All providers in Glendale, AZ
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.