Active NPI
Lakeetra McClaine Josey, PHD, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Wilmington, DE
National Provider Identifier
1801042320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- L8-0000114
- Practice address
- 410 Foulk Rd
Suite 105
Wilmington, DE 19803-3820 - Phone
- (302) 762-2285
- Fax
- (302) 654-1317
- NPI assigned
- Aug 15, 2008
- Last updated
- Feb 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ00181500 | NJ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP011243 | PA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | L8-0000114 | DE | Primary |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 26NR13561200 | NJ | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN622390 | PA | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | L1-0041743 | DE |
Addresses
Primary practice location
410 Foulk Rd
Suite 105
Wilmington, DE 19803-3820
Mailing address
219 Edgewood Dr
Wilmington, DE 19809-3254
Phone (215) 806-5111
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
- Nurse Practitioner, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0041743 | DE | MD | Psychiatric/Mental Health Registered Nurse |
| 26NR13561200 | NJ | MD | Psychiatric/Mental Health Registered Nurse |
| RN622390 | PA | MD | Psychiatric/Mental Health Registered Nurse |
| L8-0000114 | DE | MD | Psychiatric/Mental Health Nurse Practitioner |
| 26NJ00181500 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
| SP011243 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Center for Health and Wellness LLC | Current | Accepting new patients | |
| Your Center, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Wilmington, DE
- NPI 1548760960
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wilmington, DE
- NPI 1962859496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1801042320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 EDGEWOOD DR",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198093254",
"telephone_number": "215-806-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 FOULK RD",
"address_2": "SUITE 105",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198033820",
"telephone_number": "302-762-2285",
"fax_number": "302-654-1317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEY",
"first_name": "LAKEETRA",
"middle_name": "MCCLAINE",
"credential": "PHD, APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-15",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ00181500",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP011243",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DE",
"license": "L8-0000114",
"primary": true
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NR13561200",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "PA",
"license": "RN622390",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "DE",
"license": "L1-0041743",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.