Individual provider Active NPI

John C Njuguna, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Amesbury, MA
National Provider Identifier
1184341802
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN284265 Issued in MA
Practice address
110 Haverhill Rd Ste 319
Amesbury, MA 01913-2129
Phone
(978) 996-5401
Fax
(978) 363-0016
NPI assigned
Oct 24, 2022
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 112857-23 NH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN284265 MA Primary

Addresses

Primary practice location

110 Haverhill Rd Ste 319
Amesbury, MA 01913-2129

Mailing address

110 Haverhill Rd Ste 319
Amesbury, MA 01913-2129
Phone (978) 996-5401

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
I20231024000111 MA Practitioner - Nurse Practitioner 4082060314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 Haverhill Rd
Suite 319
Amesbury, MA 01913-2129
Phone (978) 996-5401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112857-23NHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amani Mental Health Services, LLC Psychiatric/Mental Health CurrentSince Jul 1, 2024 Accepting new patients
Hri Clinics, Inc. CurrentSince Aug 30, 2023 Accepting new patients
Hri Clinics Inc CurrentSince Aug 30, 2023 Accepting new patients

Locations

110 Haverhill Rd
Ste 319
Amesbury, MA 01913
Phone (978) 384-0876

14 Fordham Rd
Boston, MA 02134
Phone (617) 783-9676

116 Summer St
Haverhill, MA 01830
Phone (978) 373-7010

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1184341802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HAVERHILL RD STE 319",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132129",
            "telephone_number": "978-996-5401",
            "fax_number": "978-363-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HAVERHILL RD STE 319",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132129",
            "telephone_number": "978-996-5401",
            "fax_number": "978-363-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJUGUNA",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-24",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "112857-23",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN284265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amesbury, MA

Sources for this page

Verify at the official NPI Registry.