Stellah Kulabako, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2307930 Issued in MA

Practice address

25 Royal Crest Dr Apt 2
North Andover, MA 01845-6474

Phone

(617) 543-2611

NPI assigned

Feb 13, 2023

Last updated

May 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Stellah Kulabako Professional name

Medicare fee-for-service enrollment

Enrolled in CA, MA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• County of Shasta

  dba Shasta County Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Redding, CA
  • NPI 1881692390
  Medicare reassignment NPD
• Hopeful Psychiatric Services LLC

  dba Hopeful psychiatry services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, MA
  • NPI 1952160152
  Authorized official Same address or phone
• County of Shasta

  dba Shasta County Public Health

  • State or Local Public Health Clinic/Center
  • Redding, CA
  • NPI 1588709182
  NPD

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715990400000",
    "number": "1770280646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ROYAL CREST DR APT 2",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456474",
            "telephone_number": "617-543-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ROYAL CREST DR APT 2",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456474",
            "telephone_number": "617-543-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULABAKO",
        "first_name": "STELLAH",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2024-05-18",
        "certification_date": "2024-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2307930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STELLAH",
            "last_name": "KULABAKO",
            "prefix": "MS.",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Marisa Glynn Kouroyen
• Eric J Kozol
• John Dominic Kplorfia, NP
• Amanda Gales Kramer, D.M.D.
• Andrea Caporrella Krause, LICSW, CEAP
• Lisa Marie Kulpinski, PH.D.
• Parvathi Kumar, PHARM D
• Teodora Kurteva, MD
• Bobby M Kuruvilla, DPM
• Labella Home Health Agency LLC

• Psychiatric/Mental Health Nurse Practitioner in North Andover, MA
• Providers in North Andover, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.