Doris Cudjoe Owusu, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024179622 Issued in VA

Practice address

800 Corporate Dr Ste 301
Stafford, VA 22554-4889

Phone

(571) 315-3313

NPI assigned

Nov 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Holistic Psychiatry and Medical Center LLCGroup PAC ID 9931599461, 2 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Holistic Psychiatry and Medical Center LLC

  • Multi-Specialty Clinic/Center
  • Stafford, VA
  • NPI 1184393159
  Medicare reassignment Care Compare group Authorized official
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC, Psychiatric/Mental Health

  Medicare reassignment NPD
• D & D Health LLC

  • Home Health Agency
  • Triangle, VA
  • NPI 1447797238
  NPD Authorized official
• Holistic Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Triangle, VA
  • NPI 1801561543
  NPD Authorized official

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

{
    "created_epoch": "1605916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1780287607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 DETERMINATION DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225543366",
            "telephone_number": "571-315-3313",
            "fax_number": "571-774-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CORPORATE DR STE 301",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225544889",
            "telephone_number": "571-315-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWUSU",
        "first_name": "DORIS",
        "middle_name": "CUDJOE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-21",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179622",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024179622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Fatima Othman, LPC
• Gracelove A Otti Okyere, QASP-S
• Rachel Kim Otto
• Outsource Support LLC
• Melanie Ovalle
• Nicky Owusu
• Yvonne Owusu, PMHNP
• Manuel Pachas Flores
• Christopher Josue Padilla Umanzor
• Oscar Alcides Padilla Umanzor

• Psychiatric/Mental Health Nurse Practitioner in Stafford, VA
• Providers in Stafford, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.