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Sprouts Health Clinic Inc

NPI 1013798826ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Concord, MA

Nurse Practitioner, Psych/Mental Health in Concord, Massachusetts, registered in NPPES in October 2023. The authorized official on file is Mariam Kaluba Ssozi, NP, Pmhnp.

Overview

NPI1013798826
StatusActive
Entity typeOrganization
NPI issuedOct 9, 2023
Last updated in NPPESOct 9, 2023
Certified by providerOct 8, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Psych/Mental Health Primary363LP0808X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other psychiatric nurse practitioners in Concord

All 21 psychiatric nurse practitioners in Concord · All psychiatric nurse practitioners in Massachusetts