Yonis A Mudey, NURSE PRACTITIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

21343 Issued in CA

Practice address

2288 Fulton St Ste 309
Berkeley, CA 94704-1490

Phone

(650) 577-2097

Fax

(650) 577-2098

NPI assigned

Jun 24, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Portia Bell Hume Behavioral Health and Training CenterGroup PAC ID 0547251688, 11 clinicians

Vista Psychiatric and Primary Care ServicesGroup PAC ID 2668762352, 2 clinicians

Altea Medical California PCGroup PAC ID 1850740150, 84 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Delta Medical Center Hospital, Antioch, CA, CCN 050523

Merit-based Incentive Payment System (MIPS)

Final score

27.39 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

91.3

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ymudey207799@hisp.ehr.sutterhealth.org
• Direct secure messaging: ymudey@landmarkhealth-direct.org

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.

• Vista Psychiatric and Primary Care Services

  • Nurse Practitioner
  • Berkeley, CA
  • NPI 1023463189
  Medicare reassignment Care Compare group Authorized official
• Altea Medical California PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Eureka, CA
  • NPI 1174302954
  Medicare reassignment Care Compare group NPD
• Portia Bell Hume Behavioral Health and Training Center

  dba Hume Concord CMHC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Concord, CA
  • NPI 1760489439
  Medicare reassignment Care Compare group NPD
• Portia Bell Hume Behavioral Health & Training Center

  dba The Hume Center West County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Richmond, CA
  • NPI 1083060990
  NPD
• Portia Bell Hume Behavioral Health and Training Center

  dba The Hume Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fremont, CA
  • NPI 1801087366
  NPD

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

• Sutter Bay Hospitals

  dba Sutter Delta Medical Center

  • General Acute Care Hospital
  • Antioch, CA
  • NPI 1467808659
  Care Compare affiliation

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

{
    "created_epoch": "1340496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1790048767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2288 FULTON ST STE 309",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041490",
            "telephone_number": "510-517-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2288 FULTON ST STE 309",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041490",
            "telephone_number": "650-577-2097",
            "fax_number": "650-577-2098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1730 S Amphlett Blvd",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944022707",
            "country_code": "US",
            "telephone_number": "510-517-3156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUDEY",
        "first_name": "YONIS",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-24",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "21343",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21343",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "21343",
            "primary": false
        },
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "CA",
            "license": "3467",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "21343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Ellen Mouratoff, M.D.
• Anne D.M.U. Moy, O.D.
• Lynda Moy, LCSW
• James C. Moyers, MFT
• John Mucovich, MA, ATC
• Jason Mueller
• James Jeffrey Muir, PH.D.
• Amit Mujral
• Daniel Mullaney, OTR/L
• Mullen Chiropractic Corporation (The Good Life Chiropractic)

• Psychiatric/Mental Health Nurse Practitioner in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.