Individual provider Active NPI

Julliet Nassuuna

  • Psychiatric/Mental Health Nurse Practitioner
  • Canton, MA
National Provider Identifier
1003624693
Registry record updated May 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2301510 Issued in MA
Practice address
1017 Turnpike St Ste 32a
Canton, MA 02021-2853
Phone
(781) 236-7343
NPI assigned
Dec 27, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2301510 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2301510 MA Primary

Addresses

Primary practice location

1017 Turnpike St Ste 32a
Canton, MA 02021-2853

Mailing address

1431 Arboretum Way
Burlington, MA 01803-3840
Phone (617) 710-4096

Other practice location 1

1431 Arboretum Way
Burlington, MA 01803-3840
Phone (617) 710-4096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20250404002967 MA Practitioner - Nurse Practitioner 4183148752 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
First-Class Behavioral and Counseling ServicesGroup PAC ID 5395128276, 11 clinicians
Supportive Behavioral Care of Ma LLCGroup PAC ID 8628346731, 103 clinicians

Practice addresses (Care Compare)

1017 Turnpike St
Suite 32a
Canton, MA 02021-2853
Phone (781) 236-7343

44 School St
RM 325
Boston, MA 02108-4209
Phone (718) 298-4375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2301510MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Behavioral Care of Ma LLC CurrentSince Jun 3, 2025 Accepting new patients
First-Class Behavioral & Counseling Services Psychiatric/Mental Health CurrentSince Mar 27, 2025 Accepting new patients

Locations

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

1017 Turnpike St
#32A
Canton, MA 02021
Phone (781) 236-7343

1017 Turnpike St
Ste 32A
Canton, MA 02021
Phone (781) 236-7343

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748649600000",
    "number": "1003624693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 ARBORETUM WAY",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033840",
            "telephone_number": "617-710-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 TURNPIKE ST STE 32A",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212853",
            "telephone_number": "781-236-7343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1431 Arboretum Way",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018033840",
            "country_code": "US",
            "telephone_number": "617-710-4096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASSUUNA",
        "first_name": "JULLIET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-27",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2301510",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2301510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

Verify at the official NPI Registry.