Individual provider Active NPI

Nadimire Jules-Dole, M.D.

  • Psychiatry Physician
  • New Freedom, PA
National Provider Identifier
1750657987
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0082649 Issued in MD
Practice address
781 Far Hills Dr Ste 600
New Freedom, PA 17349
Phone
(717) 812-2560
Fax
(717) 812-2569
NPI assigned
Apr 2, 2012
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X D0082649 MD Primary
Child & Adolescent Psychiatry Physician 2084P0804X D0082649 MD
Child & Adolescent Psychiatry Physician 2084P0804X MD466536 PA

Addresses

Primary practice location

781 Far Hills Dr Ste 600
New Freedom, PA 17349

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-1405

Other practice location 1

100 E Carroll St
Salisbury, MD 21801-5422
Phone (202) 360-4787

Other practice location 2

The Johns Hopkins Hospital 1800 Orleans Street
Bloomberg Children's Center, 12th Floor
Baltimore, MD 21287
Phone (410) 614-2619

Other practice location 3

The Johns Hopkins Hospital 1800 Orleans Street
Bloomberg Children's Center, 12th Floor
Baltimore, MD 21287
Phone (410) 614-2619

Other practice location 4

200 Memorial Ave
Westminster, MD 21157-5726
Phone (410) 871-6565

Other identifiers 2

IdentifierTypeStateIssuer
666348600MedicaidMD
AJ4147357MedicaidNY

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
I20200826003650 MD Practitioner - Psychiatry 9638420029 Reassigns benefits to 2 organizations
I20230525000795 DC Practitioner - Psychiatry 9638420029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Drexel University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carroll Health Group LLCGroup PAC ID 3870627029, 68 clinicians

Practice addresses (Care Compare)

200 Memorial Ave
Westminster, MD 21157-5726
Phone (410) 848-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0082649MDMDChild & Adolescent Psychiatry Physician
MD466536PAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Montgomery, Inc. CurrentSince Apr 12, 2023 Accepting new patients
Cornerstone Montgomery, Inc. CurrentSince Apr 12, 2023 Accepting new patients
Axis Healthcare Group Psychiatry CurrentSince Jun 1, 2024 Accepting new patients
Carroll Health Group, LLC Psychiatry CurrentSince Jun 10, 2025 Accepting new patients
Paragon Integrative Health, LLC Current Accepting new patients
MCS, PC Psychiatry Past Accepting new patients
Carroll Hospital Center, Inc. Past Accepting new patients

Locations

1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000

6040 Southport Dr
Bethesda, MD 20814
Phone 3014934200228

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

2 Taft Ct
Ste 200
Rockville, MD 20850
Phone (301) 715-3673

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

1398 Lamberton Dr
Silver Spring, MD 20902
Phone (301) 754-1102

193 Stoner Ave
Ste 220
Westminster, MD 21157
Phone (410) 871-2204

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1750657987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 FAR HILLS DR STE 600",
            "city": "NEW FREEDOM",
            "state": "PA",
            "postal_code": "17349",
            "telephone_number": "717-812-2560",
            "fax_number": "717-812-2569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Carroll St",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218015422",
            "country_code": "US",
            "telephone_number": "202-360-4787",
            "fax_number": "202-360-4787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "The Johns Hopkins Hospital 1800 Orleans Street",
            "address_2": "Bloomberg Children's Center, 12th Floor",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21287",
            "country_code": "US",
            "telephone_number": "410-614-2619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "The Johns Hopkins Hospital 1800 Orleans Street",
            "address_2": "Bloomberg Children's Center, 12th Floor",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21287",
            "country_code": "US",
            "telephone_number": "410-614-2619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Memorial Ave",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "MD",
            "postal_code": "211575726",
            "country_code": "US",
            "telephone_number": "410-871-6565",
            "fax_number": "410-871-6322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JULES-DOLE",
        "first_name": "NADIMIRE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0082649",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "D0082649",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD466536",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "666348600",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AJ4147357",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Freedom, PA

Sources for this page

Verify at the official NPI Registry.