Individual provider Active NPI

Mawule Sevon, MA, NCSP, BCBA

  • School Psychologist
  • Silver Spring, MD
National Provider Identifier
1588029417
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
45863 Issued in MD
Practice address
8609 2ND Ave
404B
Silver Spring, MD 20910-3360
Phone
(240) 398-3514
NPI assigned
Dec 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 45863 MD Primary
Behavior Analyst 103K00000X 0-16-21415 MD

Addresses

Primary practice location

8609 2ND Ave
404B
Silver Spring, MD 20910-3360

Mailing address

8609 2ND Ave
404B
Silver Spring, MD 20910-3360
Phone (240) 398-3514

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
45863MDMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Key Consulting Firm, LLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1588029417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8609 2ND AVE",
            "address_2": "404B",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103360",
            "telephone_number": "240-398-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8609 2ND AVE",
            "address_2": "404B",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103360",
            "telephone_number": "240-398-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVON",
        "first_name": "MAWULE",
        "credential": "MA, NCSP, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-18",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MD",
            "license": "45863",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "0-16-21415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.