Fatmata L Daramy

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP031703 Issued in PA

Practice address

18 Campus Blvd
Newtown Square, PA 19073-3245

Phone

(610) 803-4918

NPI assigned

Mar 18, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Fatmata L Bah Former name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Omni Health Services Inc 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Omni Health Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Upper Darby, PA
  • NPI 1831236637

  PA

  Medicare reassignment Care Compare group
• Omni Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Camden, NJ
  • NPI 1821504564
  Care Compare group

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1508666561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HILLDALE RD",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190502347",
            "telephone_number": "610-800-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CAMPUS BLVD",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733245",
            "telephone_number": "610-803-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARAMY",
        "first_name": "FATMATA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP031703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FATMATA",
            "last_name": "BAH",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alicia Marie D'Antonio, M.S. CCC-SLP/L
• Yvonne Catherine D'Antonio, PHARMD
• Dalton Psychological, PLLC
• Amanda Marie Dalton, LCSW
• Daniel Rowan
• Renee Davia
• David a. Bottger M.D.
• Elliot J Davis, EDD
• Carol Ann Davison, PTA
• Coleen Defruscio, M.S. OTR/L

• All providers in Newtown Square, PA
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.