Mikiyas Berhane Hailemichael, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1039526 Issued in TX

Practice address

1400 N Coit Rd Ste 202
McKinney, TX 75071-6656

Phone

(469) 949-4941

Fax

(469) 942-9252

NPI assigned

Mar 25, 2024

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 TX, CO2 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 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dream Revival PsychiatryGroup PAC ID 0941712855, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Dream Revival Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • McKinney, TX
  • NPI 1679377618

  CO

  Medicare reassignment Care Compare group
• Graceland Psychiatric and Neuromodulation Center PLLC

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1518548262
  Medicare reassignment NPD
• Mile High Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Aurora, CO
  • NPI 1760928766
  Medicare reassignment NPD
• Mile High Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Aurora, CO
  • NPI 1407681174
  NPD
• Nisha Satish MD PA

  dba Primed Solutions

  • Family Medicine Physician
  • Greenville, TX
  • NPI 1902171226
  NPD (past)

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1841040532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N COIT RD STE 202",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750716656",
            "telephone_number": "469-949-4941",
            "fax_number": "469-942-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N COIT RD STE 202",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750716656",
            "telephone_number": "469-949-4941",
            "fax_number": "469-942-9252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2675 S Abilene St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800142363",
            "country_code": "US",
            "telephone_number": "720-507-4779",
            "fax_number": "833-941-5047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAILEMICHAEL",
        "first_name": "MIKIYAS",
        "middle_name": "BERHANE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-25",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "1818733",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1039526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Suzanne Hagen, PAC
• Tiffany Hagen
• Carrie Hague
• Hahn MHT LLC
• Neha Haider
• Krystin Haire, MS
• Raina Halasa
• Lori D Halderman, MD
• Karen Suzanne Hales
• Camhy Cao Hall, D.C., M.A.O.M.

• Psychiatric/Mental Health Nurse Practitioner in McKinney, TX
• Providers in McKinney, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.