Active NPI
Joseph Mayanja Ddamulira
- Mental Health Counselor
- Woburn, MA
National Provider Identifier
1528467677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 11 West St
Woburn, MA 01801-1822 - Phone
- (781) 285-9050
- Fax
- (617) 600-4728
- NPI assigned
- Aug 14, 2014
- Last updated
- Aug 5, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
11 West St
Woburn, MA 01801-1822
Mailing address
11 West St
Woburn, MA 01801-1822
Phone (781) 285-9050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001321890 | Other | MA | TRANSPORTATION FOR MEDICAL PURPOSES |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Woburn | Health Information Exchange (HIE) |
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": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1528467677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 WEST ST",
"city": "WOBURN",
"state": "MA",
"postal_code": "018011822",
"telephone_number": "781-285-9050",
"fax_number": "617-600-4728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 WEST ST",
"city": "WOBURN",
"state": "MA",
"postal_code": "018011822",
"telephone_number": "781-285-9050",
"fax_number": "617-600-4728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DDAMULIRA",
"first_name": "JOSEPH",
"middle_name": "MAYANJA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-14",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRANSPORTATION FOR MEDICAL PURPOSES",
"identifier": "001321890",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Woburn",
"affiliation": "N",
"endpointDescription": "HEALTH CARE",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11 West St",
"city": "Woburn",
"state": "MA",
"country_code": "US",
"postal_code": "018011822",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.