Organization Active NPI

Benevolent Care LLC

  • Intellectual & Developmental Disabilities Psychologist
  • Auburn, ME
National Provider Identifier
1225604358
Registry record updated May 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
Legal business name
BENEVOLENT CARE LLC
Practice address
37 W Dartmouth St
Auburn, ME 04210-6149
Phone
(207) 344-7675
NPI assigned
May 30, 2021
Last updated
May 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2021

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

Authorized official

Name
Lony Mugisha
Title
Ceo
Phone
(207) 344-7675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TM1800X Primary

Addresses

Primary practice location

37 W Dartmouth St
Auburn, ME 04210-6149

Mailing address

37 W Dartmouth St
Auburn, ME 04210-6149
Phone (207) 344-7675

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1622332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622332800000",
    "number": "1225604358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 W DARTMOUTH ST",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106149",
            "telephone_number": "207-344-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W DARTMOUTH ST",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106149",
            "telephone_number": "207-344-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEVOLENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-30",
        "last_updated": "2021-05-30",
        "certification_date": "2021-05-30",
        "status": "A",
        "authorized_official_last_name": "MUGISHA",
        "authorized_official_first_name": "LONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-344-7675"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2021; 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.