Kena Mena, MA

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1800 Columbus Ave
Dimock Early Intervention Program
Roxbury, MA 02119-1042

Phone

(617) 442-8800

NPI assigned

Sep 2, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1760882369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 MONTFERN AVE",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COLUMBUS AVE",
            "address_2": "DIMOCK EARLY INTERVENTION PROGRAM",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021191042",
            "telephone_number": "617-442-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENA",
        "first_name": "KENA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Medeiros Dasilva, MSW
• Vijaiy Medy, LMHC
• Chang Huan Mei, RPH
• Darleny Mejia
• Jose Mejia
• Keniesha Elise Mendes
• Kerry Mendes, M.S., R.D.
• Hannah Mendygral, LMHC
• Stanley Mengual
• Caroline Merritt, B.A. (M.A. CANDIDATE

• Specialist in Roxbury, MA
• Providers in Roxbury, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.