AMADI LEVETTE MIKELL MACONDRAY
NPI 1790653939
Day Training/Habilitation Specialist in Santa Rosa, CA

Q: What is Amadi Mikell Macondray's NPI number?

The NPI number for Amadi Mikell Macondray is 1790653939. It was assigned to this individual provider in the NPPES registry on October 28, 2025.

Q: What is Amadi Mikell Macondray's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

Active since October 28, 2025

131B STONY CIR, SANTA ROSA, CA 95401(707) 576-7700 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Amadi Levette Mikell Macondray NPPES

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

AMADI LEVETTE MIKELL MACONDRAY (NPI 1790653939) is an individual day training/habilitation specialist in Santa Rosa, California and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1790653939

Entity TypeIndividualFemale

Primary Taxonomy373H00000X

Provider Legal NameAMADI LEVETTE MIKELL MACONDRAY

Location Address131B STONY CIRSanta Rosa, CA 95401-9507

Mailing Address131b Stony CirSanta Rosa, CA 95401-9507 · (707) 576-7700

Phone(707) 576-7700

Sole ProprietorNo

Enumeration DateOctober 28, 2025

NPPES CertifiedOctober 28, 2025

✔ NPI 1790653939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers

Taxonomy Code373H00000X

Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

131B STONY CIR, Santa Rosa, CA 95401

Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

HIGHDONE Q TRIAS

Technician, Other

131B STONY CIR
SANTA ROSA, CA 95401

Sonoma County (705) 576-7700

MR. BRUCE AVROM KOLMAN OTR/L, CHT

Specialist

131B STONY CIR, SUITE 2000
SANTA ROSA, CA 95401

Sonoma County (707) 546-1922

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 Amadi Mikell Macondray's NPI number?

The NPI number for Amadi Mikell Macondray is 1790653939. It was assigned to this individual provider in the NPPES registry on October 28, 2025.

Where is Amadi Mikell Macondray located?

Amadi Mikell Macondray practices at 131B Stony Cir, Santa Rosa, CA 95401. The listed phone number is (707) 576-7700.

What is Amadi Mikell Macondray's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Amadi Mikell Macondray was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.