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PATRICK MURATHIMI MUTUGU PMHNP-BC NPI 1588205231


NPI Information

NPI: 1588205231
Provider Name: PATRICK MURATHIMI MUTUGU, PMHNP-BC
Classification: Registered Nurse - 163WP0807X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Child & Adolescent

Organization: GRANT-BLACKFORD MENTAL HEALTH INC.

PECOS Registration: Yes

Address:
707 N MICHIGAN ST
SOUTH BEND, IN
ZIP 46601
Phone: (574) 647-8470
Get Directions

Patrick Murathimi Mutugu, PMHNP-BC is a psychiatric/mental health and child and adolescent registered nurse in South Bend, IN with 5 years of experience. Patrick Murathimi Mutugu, PMHNP-BC NPI is 1588205231. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

707 N MICHIGAN ST
SOUTH BEND, IN
ZIP 46601-067
Phone: (574) 647-8470
Fax: (574) 647-8475

The NPI 1588205231 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/3/2019 and was last updated on 10/3/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WP0807XRegistered NursePsychiatric/Mental Health, Child & Adolescent28230548AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.