Active NPI
Maral Kouyoumdjian
- Occupational Therapist
- Danvers, MA
National Provider Identifier
1972297661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7791
- Practice address
- 90 Lindall St
Danvers, MA 01923-2125 - Phone
- (978) 777-3740
- NPI assigned
- Jun 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7791 | MA | Primary |
Addresses
Primary practice location
90 Lindall St
Danvers, MA 01923-2125
Mailing address
20 Holiday LN
West Yarmouth, MA 02673-4730
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7791 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1972297661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 HOLIDAY LN",
"city": "WEST YARMOUTH",
"state": "MA",
"postal_code": "026734730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 LINDALL ST",
"city": "DANVERS",
"state": "MA",
"postal_code": "019232125",
"telephone_number": "978-777-3740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOUYOUMDJIAN",
"first_name": "MARAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-06",
"last_updated": "2023-06-06",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "7791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.