Mavis A Amponsah, DNP
Nurse Practitioner, Psych/Mental Health in Worcester, Massachusetts
1003720889- Practice location
- 425 Lake Ave N, Worcester, MA 01605-2072
- Phone
- 508-667-1124
- Fax
- —
- Last updated
- October 12, 2026
Mavis A Amponsah is a Nurse Practitioner, Psych/Mental Health based in Worcester, MA. Mavis A Amponsah practices in Worcester, MA and has the professional credentials of DNP. The NPI Number for Mavis A Amponsah is 1003720889 and holds a License No. 1247517 (TX). The current practice location address for Mavis A Amponsah is 425 Lake Ave N, Worcester, MA 01605-2072 and can be reached out via phone at 508-667-1124.
Provider Profile Details
- NPI Number
- 1003720889
- Provider Name
- Mavis A Amponsah
- Credential
- DNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 425 Lake Ave N, Worcester, MA 01605-2072
- Phone Number
- 508-667-1124
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 29, 2026
- Last Update Date
- October 12, 2026
- Certification Date
- October 12, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 425 Lake Ave N
Worcester, MA 01605-2072 - City
- Worcester
- State
- Massachusetts
- Zip
- 01605-2072
- Phone Number
- 508-667-1124
Provider Business Mailing Address Details
- Address
- 425 Lake Ave N Ste 102
Worcester, MA 01605-2073 - City
- Worcester
- State
- MA
- Zip
- 01605-2073
License Information
- License Number
- 1247517
- License State
- TX
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mavis A Amponsah, DNP?
The NPI number of Mavis A Amponsah, DNP is 1003720889. It was assigned on September 29, 2026 and is currently active in the NPPES registry.
What is the specialty of Mavis A Amponsah, DNP?
Mavis A Amponsah, DNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in TX under license number 1247517.
Where does Mavis A Amponsah, DNP practice?
The practice location is 425 Lake Ave N, Worcester, MA 01605-2072. The office can be reached at 508-667-1124 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003720889 directly on the NPPES registry website.