Individual provider Active NPI

Uzelia Josheba Hall, M.D.

  • Psychiatry Physician
  • Ellicott City, MD
National Provider Identifier
1477879450
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0072066 Issued in MD
Practice address
10045 Baltimore National Pike
A7 #1092
Ellicott City, MD 21042-7966
Phone
(301) 458-0890
Fax
(443) 541-4748
NPI assigned
Apr 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X D0072066 MD
Psychiatry Physician 2084P0800X D0072066 MD Primary

Addresses

Primary practice location

10045 Baltimore National Pike
A7 #1092
Ellicott City, MD 21042-7966

Mailing address

10045 Baltimore National Pike
A7 #1092
Ellicott City, MD 21042-7966
Phone (301) 458-0890

Other identifiers 2

IdentifierTypeStateIssuer
008045376MedicaidCT
D400092148OtherCTMEDICARE #

Other names 1

  • Uzelia J Louis-Jacques Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0072066MDMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louis-Jacques Health, LLC Psychiatry Current Accepting new patients
Louis-Jacques Health, LLC Psychiatry Current Accepting new patients

Locations

10045 Baltimore National Pike
Ste A7
Ellicott City, MD 21042
Phone (301) 458-0890

10820 Composite Dr
Dallas, TX 75220
Phone (301) 458-0890

Organizations & group practices 2

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": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1477879450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10045 BALTIMORE NATIONAL PIKE",
            "address_2": "A7 #1092",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427966",
            "telephone_number": "301-458-0890",
            "fax_number": "443-541-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10045 BALTIMORE NATIONAL PIKE",
            "address_2": "A7 #1092",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427966",
            "telephone_number": "301-458-0890",
            "fax_number": "443-541-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "UZELIA",
        "middle_name": "JOSHEBA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-15",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "MD",
            "license": "D0072066",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0072066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008045376",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE #",
            "identifier": "D400092148",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "UZELIA",
            "last_name": "LOUIS-JACQUES",
            "middle_name": "J",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.