Individual provider Active NPI

Dauda Blaq Kamara

  • Intellectual & Developmental Disabilities Psychologist
  • Henderson, NV
National Provider Identifier
1295502953
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
License
NA Issued in AZ
Practice address
2727 W McDowell Road Apt266
121 Brookhouse CT
Henderson, NV 89011
Phone
(623) 290-0293
NPI assigned
Dec 4, 2023
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X NA AZ Primary

Addresses

Primary practice location

2727 W McDowell Road Apt266
121 Brookhouse CT
Henderson, NV 89011

Mailing address

121 Brookhouse CT
Henderson, NV 89011-2555
Phone (702) 927-1134

Other practice location 1

121 Brookhouse Ct
Henderson, NV 89011-2555
Phone (623) 290-0293

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

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1295502953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BROOKHOUSE CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890112555",
            "telephone_number": "702-927-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W MCDOWELL ROAD APT266",
            "address_2": "121 BROOKHOUSE CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89011",
            "telephone_number": "623-290-0293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Brookhouse Ct",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890112555",
            "country_code": "US",
            "telephone_number": "623-290-0293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMARA",
        "first_name": "DAUDA",
        "middle_name": "BLAQ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "AZ",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.