Individual provider Active NPI

John Kanithi Kamau

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1023721792
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R233016 Issued in MD
Practice address
300 E Madison St
Baltimore, MD 21202-4260
Phone
(410) 545-8186
NPI assigned
Dec 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R233016 MD Primary

Addresses

Primary practice location

300 E Madison St
Baltimore, MD 21202-4260

Mailing address

43 Dovefield Rd
Perry Hall, MD 21128-9422
Phone (410) 814-9004

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20230801000085 MD Practitioner - Nurse Practitioner 9830550334 Reassigns benefits to 5 organizations
I20240116002513 DC Practitioner - Nurse Practitioner 9830550334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Covenant Crafts Psychiatry Services LLCGroup PAC ID 1052890407, 2 clinicians
Della Behavioral Health ServicesGroup PAC ID 3971755000, 54 clinicians
Harford-Belair Community Mental Health Center, Inc.Group PAC ID 5799838850, 7 clinicians

Practice addresses (Care Compare)

114 N Howard St
Baltimore, MD 21201-3409
Phone (410) 800-2366

16940 Georgia Ave
Olney, MD 20832-2424
Phone (410) 929-7225

4308 Harford Rd
Baltimore, MD 21214-3116
Phone (410) 426-5650

9841 Broken Land Pkwy
Suite 314
Columbia, MD 21046-3078
Phone (410) 929-7225

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Quality
75.8
Improvement activities
40
Cost
77.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R233016MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spiritual Healing Psychiatric/Mental Health CurrentSince Jun 25, 2023 Accepting new patients
Appointed Time Mental Health Services LLC Psychiatric/Mental Health CurrentSince Feb 15, 2025 Accepting new patients
Toller Enterprises LLC CurrentSince Jul 3, 2023 Accepting new patients
Covenant Crafts Psychiatry Services LLC Psychiatric/Mental Health CurrentSince Dec 1, 2025 Accepting new patients
Della Behavioral Health Services CurrentSince Jan 29, 2024 Accepting new patients
Harford-Belair Community Mental Health Center, Inc. CurrentSince Oct 11, 2023 Accepting new patients
Toller Enterprises LLC Psychiatric/Mental Health CurrentSince Jul 3, 2023 Accepting new patients

Locations

114 N Howard St
Baltimore, MD 21201
Phone (410) 800-2366

2232 E Monument St
Baltimore, MD 21205
Phone (667) 207-3552

4308 Harford Rd
Baltimore, MD 21214
Phone (410) 426-5650

9841 Broken Land Pkwy
Ste 314
Columbia, MD 21046
Phone (410) 929-7225

Organizations & group practices 7

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": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1023721792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 DOVEFIELD RD",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289422",
            "telephone_number": "410-814-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E MADISON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024260",
            "telephone_number": "410-545-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMAU",
        "first_name": "JOHN",
        "middle_name": "KANITHI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R233016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N/A",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "300 E Madison St",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212024260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.