Mohammed Roshan

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

460 N Mesa Dr Ste 120
Mesa, AZ 85201-5974

Phone

(301) 675-9285

NPI assigned

Sep 26, 2022

Last updated

Sep 26, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Opportunity Changes Communities LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mesa, AZ
  • NPI 1255055026
  NPD Authorized official
• Opportunity Changes Communities LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mesa, AZ
  • NPI 1629792361
  NPD Authorized official

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1871216770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17111 LONGLEAF DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163636",
            "telephone_number": "301-675-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N MESA DR STE 120",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015974",
            "telephone_number": "301-675-9285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 N Mesa Dr",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852015973",
            "country_code": "US",
            "telephone_number": "301-675-9285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSHAN",
        "first_name": "MOHAMMED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "opportunitychangescommunities@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "OPPORTUNITY CHANGES COMMUNITIES LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "460 N Mesa Dr",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852015973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Roselli, COTA/L
• Bernadette R Rosenberg, DO
• Erin Rosendahl, DO
• Matthew Rosenkilde, LPC
• Meredith Rosenthal, MD
• Amy Rosner, PHD, CPC, CHT
• Ross McDonald, Surgical Assistant-Certified
• Christina Noel Ross, FNP-C
• Gregory Ross, ARRT(R)(CT)
• Linda Jane Ross, M. A. CCC/SLP

• Behavior Technician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Behavior Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.