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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MAVIS A AMPONSAH DNP
NPI 1003720889
Nurse Practitioner - Psychiatric/Mental Health in Worcester, MA

Active since September 29, 2026
425 LAKE AVE N, WORCESTER, MA 01605(508) 667-1124 Get Directions Write a Review

NPPES record added: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mavis A Amponsah Dnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAVIS A AMPONSAH DNP (NPI 1003720889) is an individual psychiatric/mental health provider in Worcester, Massachusetts, licensed in Texas (1247517) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1003720889
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMAVIS A AMPONSAHCredential: DNP
Location Address425 LAKE AVE NWorcester, MA 01605-2072
Mailing Address425 Lake Ave N Ste 102Worcester, MA 01605-2073
Phone(508) 667-1124
Sole ProprietorNo
Enumeration DateSeptember 29, 2026
NPPES CertifiedSeptember 29, 2026
✔ NPI 1003720889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1247517
425 LAKE AVE N, Worcester, MA 01605
Open in Google Maps ↗

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIA BITZAS
Behavior Analyst
425 LAKE AVE N
WORCESTER, MA 01605
Worcester County (617) 402-5444
ELIZABETH INDINGARO
Behavior Analyst
425 LAKE AVE N
WORCESTER, MA 01605
Worcester County (617) 402-5444
MERCEDES MARTINEZ PSYD
Psychologist (Clinical)
425 LAKE AVE N
WORCESTER, MA 01605
Worcester County (508) 856-0732
JYOTSNA A MHATRE MD
Psychiatry & Neurology (Psychiatry)
425 LAKE AVE N, STE 101
WORCESTER, MA 01605
Worcester County (508) 753-3220
DANIEL REMILLARD PSY.D.
Psychologist (Clinical)
425 LAKE AVE N, STE 101
WORCESTER, MA 01605
Worcester County (508) 753-3220
CASSANDRA BRIDGE LCSW
Social Worker (Clinical)
425 LAKE AVE N
WORCESTER, MA 01605
Worcester County (508) 749-5581
DANIEL GREIG
Behavior Analyst
425 LAKE AVE N
WORCESTER, MA 01605
Worcester County (617) 402-5444
JESSICA CRAWFORD-GREY
Nurse Practitioner (Psychiatric/Mental Health)
425 LAKE AVE N, STE 101
WORCESTER, MA 01605
Worcester County (508) 753-3220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mavis Amponsah's NPI number?

The NPI number for Mavis Amponsah is 1003720889. It was assigned to this individual provider in the NPPES registry on September 29, 2026.

Where is Mavis Amponsah located?

Mavis Amponsah practices at 425 Lake Ave N, Worcester, MA 01605. The listed phone number is (508) 667-1124.

What is Mavis Amponsah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mavis Amponsah was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.