Individual provider Active NPI

Juliet Kasozi, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Windsor Mill, MD
National Provider Identifier
1083370456
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R226511 Issued in MD
Practice address
8200 Kirk Farm Cir
Windsor Mill, MD 21244-1658
Phone
(240) 464-3276
NPI assigned
Nov 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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 R226511 MD Primary

Addresses

Primary practice location

8200 Kirk Farm Cir
Windsor Mill, MD 21244-1658

Mailing address

8200 Kirk Farm Cir
Windsor Mill, MD 21244-1658
Phone (240) 464-3276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20230321000662 MD Practitioner - Nurse Practitioner 4385018092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harford-Belair Community Mental Health Center, Inc.Group PAC ID 5799838850, 7 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harford-Belair Community Mental Health Center, Inc. CurrentSince Feb 28, 2023 Accepting new patients

Locations

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

Organizations & group practices 1

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": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1083370456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 KIRK FARM CIR",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212441658",
            "telephone_number": "240-464-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 KIRK FARM CIR",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212441658",
            "telephone_number": "240-464-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASOZI",
        "first_name": "JULIET",
        "credential": "CRNP-PMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R226511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Mill, MD

Sources for this page

Verify at the official NPI Registry.