Mikko Dane Viudez, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

407437 Issued in NY

Practice address

505 W 43Rd St Apt 3K
New York, NY 10036-0091

Phone

(630) 456-5251

NPI assigned

Aug 7, 2025

Last updated

Dec 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Metro Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1841536554
  Medicare reassignment NPD
• Metro Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1649837113
  NPD
• United Cerebral Palsy Associations of New York State, Inc.

  dba Cerebral Palsy Assns.of NYS

  • Clinic/Center
  • Bronx, NY
  • NPI 1366507758
  NPD
• Topaz Medical of New York PC

  • Psychiatry Physician
  • Boston, MA
  • NPI 1487480810

  Psychiatric/Mental Health

  NPD
• Topaz Medical Group PA

  • Psychiatry Physician
  • Boston, MA
  • NPI 1053287201

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1750266805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W 43RD ST APT 3K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100360091",
            "telephone_number": "630-456-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W 43RD ST APT 3K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100360091",
            "telephone_number": "630-456-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIUDEZ",
        "first_name": "MIKKO DANE",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Grace Domingo Vitug
• Sabrina Vitulano, AU.D.
• Nichole Vitulli, PA-C
• Sarah Vitulli, PA
• Tracy Vitulli, LMT, LAC
• Viva Pharmacy, Inc.
• Vivacity Acupuncture PLLC
• Zalma Nathalie Vivanco
• Gabriela Tatiana Vivar, MSW
• Stephen Vivar, LMSW

• Psychiatric/Mental Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.