Individual provider Active NPI

Deyana N Ilyas

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Clemens, MI
National Provider Identifier
1851023774
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704373690 Issued in MI
Practice address
175 N Groesbeck Hwy
Mount Clemens, MI 48043-1562
Phone
(586) 627-0024
NPI assigned
Jun 29, 2022
Last updated
May 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 4704373690 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704373690 MI Primary
Nurse Practitioner 363L00000X 4704373690 MI

Addresses

Primary practice location

175 N Groesbeck Hwy
Mount Clemens, MI 48043-1562

Mailing address

175 N Groesbeck Hwy
Mount Clemens, MI 48043-1562
Phone (586) 627-0024

Other practice location 1

5901 Chase Rd Ste 210
Dearborn, MI 48126-0900
Phone (832) 869-4818

Other names 1

  • Deyana Yousif Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, AZ2 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

Enrollment IDStateProvider typePAC IDDetails
I20250129002041 MI Practitioner - Nurse Practitioner 2264960160 Reassigns benefits to 3 organizations
I20250404003116 AZ Practitioner - Nurse Practitioner 2264960160 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704373690MIMDAdult Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Feb 27, 2025 Accepting new patients
Psychplus Associates of Michigan, PLLC Psychiatric/Mental Health CurrentSince Nov 28, 2024 Accepting new patients
Psychplus Medical Associates, PLLC Nurse Practitioner CurrentSince Feb 27, 2025 Accepting new patients
Psychplus Medical Associates of Michigan, PLLC CurrentSince Nov 28, 2024 Accepting new patients

Locations

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

13060 W Bell Rd
Surprise, AZ 85378
Phone (623) 499-9100

126 College St
Ste A
Battle Creek, MI 49037
Phone (269) 969-6000

15400 Michigan Ave
Ste 1
Dearborn, MI 48126
Phone (313) 207-5767

290 Town Center Dr
Ste 141
Dearborn, MI 48126

5901 Chase Rd
Ste 210
Dearborn, MI 48126
Phone (313) 945-6650

3512 Coolidge Rd
East Lansing, MI 48823
Phone (517) 318-5889

1717 Shaffer St
Ste 209
Kalamazoo, MI 49048
Phone (269) 342-2991

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1851023774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N GROESBECK HWY",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480431562",
            "telephone_number": "586-627-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N GROESBECK HWY",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480431562",
            "telephone_number": "586-627-0024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 Chase Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481260900",
            "country_code": "US",
            "telephone_number": "832-869-4818",
            "fax_number": "832-241-2902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILYAS",
        "first_name": "DEYANA",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MI",
            "license": "4704373690",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704373690",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704373690",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEYANA",
            "last_name": "YOUSIF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Clemens, MI

Sources for this page

Verify at the official NPI Registry.