Healthcare Provider Details

I. General information

NPI: 1861354854
Provider Name (Legal Business Name): ULTIMATE CARE COMMUNITY HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2025
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

236 PLEASANT ST UNIT #7
METHUEN MA
01844
US

IV. Provider business mailing address

236 PLEASANT ST UNIT #7
METHUEN MA
01844
US

V. Phone/Fax

Practice location:
  • Phone: 339-331-3521
  • Fax: 978-238-1816
Mailing address:
  • Phone: 339-331-3521
  • Fax: 978-238-1816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JULIET M KYOTOWADDE
Title or Position: DIRECTOR
Credential: APRN, PMHNP-BC
Phone: 978-259-5440