Individual provider Active NPI

Juliet M Kyotowadde, APRN-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Methuen, MA
National Provider Identifier
1780324202
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2267368 Issued in MA
Practice address
236 Pleasant St Ste 7
Methuen, MA 01844-7135
Phone
(339) 331-3521
Fax
(978) 238-1816
NPI assigned
Mar 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2267368 MA Primary

Addresses

Primary practice location

236 Pleasant St Ste 7
Methuen, MA 01844-7135

Mailing address

236 Pleasant St Ste 7
Methuen, MA 01844-7135
Phone (339) 331-3521

Other practice location 1

7 Technology Dr Ste 102
North Chelmsford, MA 01863-2441
Phone (978) 677-6354

Other practice location 2

790 Turnpike St Ste 107
North Andover, MA 01845-6138
Phone (978) 677-6354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220713001364 MA Practitioner - Nurse Practitioner 4789065442 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Behavioral Care of Ma LLCGroup PAC ID 8628346731, 103 clinicians
Assured Hope Community Health LLCGroup PAC ID 5092119529, 2 clinicians

Practice addresses (Care Compare)

236 Pleasant St
Suite 7
Methuen, MA 01844-7135
Phone (339) 331-3521

44 School St
RM 325
Boston, MA 02108-4209
Phone (718) 298-4375

7 Technology Dr
Suite 102
North Chelmsford, MA 01863-2441
Phone (978) 677-6354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2267368MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ultimate Care Community Health PLLC Psychiatric/Mental Health CurrentSince Mar 1, 2026 Accepting new patients
Supportive Behavioral Care of Ma LLC CurrentSince Dec 15, 2025 Accepting new patients

Locations

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

236 Pleasant St
Ste 7
Methuen, MA 01844
Phone (339) 331-3521

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 3

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": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1780324202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 PLEASANT ST STE 7",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018447135",
            "telephone_number": "339-331-3521",
            "fax_number": "978-238-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 PLEASANT ST STE 7",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018447135",
            "telephone_number": "339-331-3521",
            "fax_number": "978-238-1816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Technology Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "North Chelmsford",
            "state": "MA",
            "postal_code": "018632441",
            "country_code": "US",
            "telephone_number": "978-677-6354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "790 Turnpike St Ste 107",
            "address_purpose": "LOCATION",
            "city": "North Andover",
            "state": "MA",
            "postal_code": "018456138",
            "country_code": "US",
            "telephone_number": "978-677-6354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KYOTOWADDE",
        "first_name": "JULIET",
        "middle_name": "M",
        "credential": "APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2267368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.