NPIMap

Organization Active NPI

D&JS Psychiatry & Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tewksbury, MA
National Provider Identifier
1801404082
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
D&JS PSYCHIATRY & SERVICES, LLC
Practice address
10 Cayuga Rd
Tewksbury, MA 01876-1215
Phone
(435) 764-0756
NPI assigned
Jul 14, 2020
Last updated
Aug 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Authorized official

Name
Susan Njuguna, NPNPI 1134528268
Title
Nurse Practioner
Phone
(978) 596-1502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

10 Cayuga Rd
Tewksbury, MA 01876-1215

Mailing address

10 Cayuga Rd
Tewksbury, MA 01876-1215
Phone (435) 764-0756

Other names 1

  • D&Js PSYCHIATRY & SERVICES, LLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201007000066 MA Part B Supplier - Clinic/Group Practice 8921427220 Receives reassigned benefits from 2 practitioners
Practice locations: Peabody, MA; Reading, MA; Swampscott, MA; Tewksbury, MA

National Provider Directory

National Provider Directory

Locations

144 Merrimack St
Ste 401
Lowell, MA 01852

55 Concord St
Ste 204
North Reading, MA 01864
Phone (833) 394-7998

9 Centennial Dr
Peabody, MA 01960
Phone (781) 526-0447

34 Salem St
Ste 201
Reading, MA 01867
Phone (435) 764-0756

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1801404082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CAYUGA RD",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761215",
            "telephone_number": "435-764-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CAYUGA RD",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761215",
            "telephone_number": "435-764-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&JS PSYCHIATRY & SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "NJUGUNA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "NURSE PRACTIONER",
        "authorized_official_telephone_number": "978-596-1502",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D&Js PSYCHIATRY & SERVICES, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "D&Js PSYCHIATRY & SERVICES, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tewksbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.