James Gendemeh

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

23 Thomas Shilling CT
Upperco, MD 21155-9334

Phone

(410) 720-9337

NPI assigned

Feb 11, 2022

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 11, 2022.

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1992459564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9787 GOOD LUCK RD APT 11",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063342",
            "telephone_number": "240-467-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 THOMAS SHILLING CT",
            "city": "UPPERCO",
            "state": "MD",
            "postal_code": "211559334",
            "telephone_number": "410-720-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENDEMEH",
        "first_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jasmine Hall, BCBA, LBA,MSW
• Winston Frederick Harden

• All providers in Upperco, MD
• Behavior Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.