Nicole Joosten

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0810007762 Issued in VA

Practice address

5235 King Ave Ste 200
Rosedale, MD 21237-4073

Phone

(410) 210-5557

NPI assigned

Sep 1, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1053868489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5235 KING AVE STE 200",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374073",
            "telephone_number": "518-461-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5235 KING AVE STE 200",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374073",
            "telephone_number": "410-210-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOOSTEN",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810007762",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001641",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khalil Jamaal Johnson, LMSW
• Paige Johnson
• Jolye Healthcare Services LLC
• Jolye Healthcare Services LLC
• Nekia Jones, LCSW-C
• Rosilin Joseph
• Josephine Justice
• Sarah Ellen Kahn, LCPC
• Brittany Kahealani Kalahiki, LMSW
• Agnes Kamau, PHARMD

• Psychologist in Rosedale, MD
• Providers in Rosedale, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.