| Mariam Kaluba Ssozi, | |
| 
					1501 Washington St, Braintree, MA 02184-7599  | |
| (617) 847-1909 | |
| Not Available | 
| Full Name | Mariam Kaluba Ssozi | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 1501 Washington St, Braintree, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1255018180 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2326076 (Massachusetts) | Primary | 
| Entity Name | Comprehensive Health Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053786236 PECOS PAC ID: 3375847395 Enrollment ID: O20160211000061  | 
| Entity Name | Supportive Behavioral Care Of Ma Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780115519 PECOS PAC ID: 8628346731 Enrollment ID: O20170614000877  | 
| Entity Name | Sprouts Health Clinic Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013798826 PECOS PAC ID: 8820438427 Enrollment ID: O20240430001946  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mariam Kaluba Ssozi, 293 Washington St, Norwell, MA 02061-1781 Ph: (781) 552-0523  | Mariam Kaluba Ssozi, 1501 Washington St, Braintree, MA 02184-7599 Ph: (617) 847-1909  | 
Alona Rotkovitch, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 Grossman Dr, Braintree, MA 02184 Phone: 781-849-1000  | |
Mrs. Sheila Marcellus, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Grossman Dr Ste 205, Braintree, MA 02184 Phone: 781-285-5767 Fax: 781-207-9658  | |
Cornelia Waring,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 759 Granite St, Braintree, MA 02184 Phone: 781-848-1950  | |
Marie-renee Darline Lucien-jean, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 252 Grove Street, Suite 301, Braintree, MA 02184 Phone: 617-212-0711  | |
Carol M Mcclendon, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 Grossman Dr, Braintree, MA 02184 Phone: 781-849-1000  | |
Allison Leikam, RN, MSN, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 Pleasant St, Braintree, MA 02184 Phone: 913-428-6986  | |
Rona Patricia Busse, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Washington St, Braintree, MA 02184 Phone: 781-849-7330 Fax: 781-356-7599  |