Michael Mawanda Mutebi

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

7 Hanson Rd
Charlton, MA 01507-1529

Phone

(781) 420-3059

NPI assigned

Sep 21, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stars Health Services LLC

  • Foster Care Agency
  • Charlton, MA
  • NPI 1871216127
  NPD Authorized official

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1194448431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HANSON RD",
            "city": "CHARLTON",
            "state": "MA",
            "postal_code": "015071529",
            "telephone_number": "781-420-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HANSON RD",
            "city": "CHARLTON",
            "state": "MA",
            "postal_code": "015071529",
            "telephone_number": "781-420-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTEBI",
        "first_name": "MICHAEL",
        "middle_name": "MAWANDA",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci Ann Mercier, PA
• Grace Milord
• Shilpa Monga
• Virginia Montanez
• Susan Amanda Murray-Blake, PT, RMT
• Kathryn Nazer, NP
• Tayla Niemiec, MS, BCBA, LABA
• Terri Nolette
• Karen Novotny
• Valerie M Osborn, RDH

• Adult Companion in Charlton, MA
• Providers in Charlton, MA by specialty
• Adult Companion in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.