Individual provider Active NPI

Joel Joseph Ssenyonga

  • Family Psychologist
  • North Billerica, MA
National Provider Identifier
1699564369
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
Practice address
147 Rangeway Rd
North Billerica, MA 01862-2033
Phone
(857) 832-8709
NPI assigned
May 1, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Psychologist 103TF0000X Primary

Addresses

Primary practice location

147 Rangeway Rd
North Billerica, MA 01862-2033

Mailing address

147 Rangeway Rd
North Billerica, MA 01862-2033
Phone (857) 832-8709

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": "1746057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1699564369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 RANGEWAY RD",
            "city": "NORTH BILLERICA",
            "state": "MA",
            "postal_code": "018622033",
            "telephone_number": "857-832-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 RANGEWAY RD",
            "city": "NORTH BILLERICA",
            "state": "MA",
            "postal_code": "018622033",
            "telephone_number": "857-832-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SSENYONGA",
        "first_name": "JOEL",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Billerica, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.