DK Mental Focus and Behavior Services PLLC

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

Legal business name

DK MENTAL FOCUS AND BEHAVIOR SERVICES PLLC

Doing business as

DK Mental Focus and Behavior Services, PLLC

Practice address

15 Benton Dr
East Longmeadow, MA 01028-3231

Phone

(413) 239-4980

NPI assigned

May 2, 2024

Last updated

Jul 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Damaris KongoNPI 1376114009

Title

Owner

Phone

(413) 530-7318

Specialties & licenses 5

Addresses

Other names 1

• DK MENTAL FOCUS AND BEHAVIOR SERVICES, PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Damaris W Kongo, REGISTERED NURSE

  • Community Health Registered Nurse
  • Ludlow, MA
  • NPI 1376114009

  Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1932956349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 ALLISON LN",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010569201",
            "telephone_number": "413-530-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BENTON DR",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010283231",
            "telephone_number": "413-239-4980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "82 Wendell Avenue ste 100",
            "address_purpose": "LOCATION",
            "city": "Pittsfield",
            "state": "MA",
            "postal_code": "012011522",
            "country_code": "US",
            "telephone_number": "413-239-4980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39 Allison Ln",
            "address_purpose": "LOCATION",
            "city": "Ludlow",
            "state": "MA",
            "postal_code": "010569201",
            "country_code": "US",
            "telephone_number": "413-530-7318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DK MENTAL FOCUS AND BEHAVIOR SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "KONGO",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-530-7318"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DK MENTAL FOCUS AND BEHAVIOR SERVICES, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dominique Deslauriers
• Christopher Pablo Diaz
• Danielle Diaz
• Vincent H Dinh, RPH
• Terry Ditmar, PT
• Phuong Loan DO, LICSW
• Huyen Le Doan, PHARMD
• Doctordoctors LLC
• Michael Doe, DMD
• Lauren Downes, PT

• Adult Psychiatric/Mental Health Registered Nurse in East Longmeadow, MA
• Providers in East Longmeadow, MA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.