Sprouts Health Clinic Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SPROUTS HEALTH CLINIC INC

Practice address

300 Baker Ave # 300a
Concord, MA 01742-2131

Phone

(857) 417-5688

NPI assigned

Oct 9, 2023

Organization subpart

No

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

Authorized official

Name

Mariam Kaluba Ssozi, NP

Title

Pmhnp

Phone

(857) 417-5688

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1013798826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WARREN AVE # AVA",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243043",
            "telephone_number": "857-417-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BAKER AVE # 300A",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422131",
            "telephone_number": "857-417-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUTS HEALTH CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-08",
        "status": "A",
        "authorized_official_last_name": "SSOZI",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_middle_name": "KALUBA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "857-417-5688",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Southcote
• Andrew John Southcott, MST
• Tessa Kelan Speaks
• Courtney Diprisco Splaine-Cotton, DO
• Spokane Liberation Health LLC
• Deborah J Stang, NP
• Stanley Y. Wang, DMD P.C.
• Gary Stanton, MD
• Ruby Stardrum, MS
• Caitlin Pittel Stark, PSY.D.

• Psychiatric/Mental Health Nurse Practitioner in Concord, MA
• Providers in Concord, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.