Masimba Maxwell Mutamba, B.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

115 Dyer St
Columbia, TN 38401-4551

Phone

(931) 560-4236

Fax

(931) 560-4221

NPI assigned

Feb 15, 2007

Sex

Male

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

Bachelor of Science

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770626707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 CLEVLAND ST",
            "address_2": "APT. B-14",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784442",
            "telephone_number": "336-509-3971",
            "fax_number": "931-560-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 DYER ST",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014551",
            "telephone_number": "931-560-4236",
            "fax_number": "931-560-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTAMBA",
        "first_name": "MASIMBA",
        "middle_name": "MAXWELL",
        "name_prefix": "Mr.",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Mullins, RN
• Cassie Emmitt Mullis
• Lynn Marie Murphy, COTA
• Shirley Faye Murphy
• Venita Helen Murphy, APRN
• Susan Renee Myatt, RN
• Danielle Malin Myers, DPM
• Myeyedr Optometry of Tennesse, LLC (MyEyeDr.)
• Clifford M. Myles, M.D.
• N8

• Mental Health Counselor in Columbia, TN
• Providers in Columbia, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.