Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Yonis A Mudey, NURSEPRACTITIONER

Individual provider Adult Health Nurse Practitioner · NPI 1790048767

Mr. Yonis A Mudey, NURSEPRACTITIONER is a Nurse Practitioner in Berkeley, California. Qualified in 2008, 18 years ago. Practices with Portia Bell Hume Behavioral Health and Training Center, an 11-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2012
Specialties on file
5
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Practice location Address checks out

2288 Fulton St Ste 309
Berkeley, CA 94704-1490
Phone: (650) 577-2097
Fax: (650) 577-2098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1730 S Amphlett Blvd, San Mateo, CA 94402-2707 — (510) 517-3156

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 21343 (CA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 21343 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 21343 (CA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 21343 (CA)
Community Health/Public Health Clinical Nurse Specialist Taxonomy 364SC1501X · Licence 3467 (CA)

Record details

NPI number1790048767
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJune 24, 2012
Last updated in NPPESApril 12, 2024
Certification dateApril 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Portia Bell Hume Behavioral Health And Training Center — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Berkeley