Active NPI
Mamadee Kromah I
- Behavior Technician
- Worcester, MA
National Provider Identifier
1982369336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 106S00000X
- Practice address
- 9 Upland Garden Dr Apt 1
Worcester, MA 01607-1675 - Phone
- (508) 335-1872
- NPI assigned
- Nov 1, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 106S00000X | Primary |
Addresses
Primary practice location
9 Upland Garden Dr Apt 1
Worcester, MA 01607-1675
Mailing address
9 Upland Garden Dr
Worcester, MA 01607-1675
Phone (508) 335-1872
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1982369336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 UPLAND GARDEN DR",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016071675",
"telephone_number": "508-335-1872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 UPLAND GARDEN DR APT 1",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016071675",
"telephone_number": "508-335-1872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROMAH",
"first_name": "MAMADEE",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-01",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "106S00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.