Individual provider Active NPI

Joseph Mayanja Ddamulira

  • Mental Health Counselor
  • Woburn, MA
National Provider Identifier
1528467677
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001321890OtherMATRANSPORTATION FOR MEDICAL PURPOSES

Electronic endpoints 1

TypeEndpointUseAffiliation
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.

Verify at the official NPI Registry.