Individual provider Active NPI

Cholet Kelly Josue, M.D.

  • Psychiatry Physician
  • Laurel, MD
National Provider Identifier
1386834679
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0067956 Issued in MD
Practice address
14201 Laurel Park Dr Ste 221
Laurel, MD 20707-5203
Phone
(312) 491-0183
NPI assigned
Aug 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0067956 MD Primary

Addresses

Primary practice location

14201 Laurel Park Dr Ste 221
Laurel, MD 20707-5203

Mailing address

8228 Harvest Bend LN Apt 14
Laurel, MD 20707-6150
Phone (312) 491-0183

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080827000166 MD Practitioner - PsychiatryPractitioner - Neuropsychiatry 4385720606 Reassigns benefits to 1 organization
I20150422001345 DC Practitioner - Psychiatry 4385720606 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cholet K Josue LLC Psychiatry CurrentSince Oct 4, 2020 Accepting new patients
Parker Psychiatric Services, Incorporated CurrentSince May 14, 2021 Accepting new patients
Cholet K Josue LLC Psychiatry CurrentSince Aug 1, 2021 Accepting new patients
Preventative Mental Healthcare Services Past Accepting new patients
Synergos P.C. Psychiatry Past Accepting new patients
Premier Behavioral Health Services, P.C. Past Accepting new patients

Locations

940 Madison Ave
#202
Baltimore, MD 21201
Phone (410) 777-8710

14201 Laurel Park Dr
Ste 221
Laurel, MD 20707
Phone (240) 565-5731

Interoperability endpoints

  • Direct secure messaging: enhancepsychiatryandwellness.choletjosue@145374.advancedmd-direct.com

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1386834679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8228 HARVEST BEND LN APT 14",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076150",
            "telephone_number": "312-491-0183",
            "fax_number": "410-825-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 LAUREL PARK DR STE 221",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075203",
            "telephone_number": "312-491-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSUE",
        "first_name": "CHOLET",
        "middle_name": "KELLY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0067956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.