Active NPI
Kofi Dwamena, MS
- Psychologist
- West Springfield, MA
National Provider Identifier
1093830408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 44 Craig Dr
J3
West Springfield, MA 01089-1478 - Phone
- (413) 746-9339
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
44 Craig Dr
J3
West Springfield, MA 01089-1478
Mailing address
44 Craig Dr
Apt. J3
West Springfield, MA 01089-1478
Phone (413) 746-9339
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)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093830408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 CRAIG DR",
"address_2": "APT. J3",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010891478",
"telephone_number": "413-746-9339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 CRAIG DR",
"address_2": "J3",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010891478",
"telephone_number": "413-746-9339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWAMENA",
"first_name": "KOFI",
"name_prefix": "Mr.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.