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MR. TIM DEVIN LWANGA
NPI 1811689268
Community/Behavioral Health in Medford, MA

Active since May 24, 2023
3620 MYSTIC VALLEY PKWY APT E315, MEDFORD, MA 02155(781) 502-1016 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Tim Devin Lwanga NPPES

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

MR. TIM DEVIN LWANGA (NPI 1811689268) is an individual community/behavioral health provider in Medford, Massachusetts and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1811689268
Entity TypeIndividualMale
Primary Taxonomy251S00000X
Provider Legal NameMR. TIM DEVIN LWANGA
Location Address3620 MYSTIC VALLEY PKWY APT E315Medford, MA 02155-5755
Mailing Address3620 Mystic Valley Pkwy Apt E315Medford, MA 02155-5755 · (781) 502-1016
Phone(781) 502-1016
Sole ProprietorYes
Enumeration DateMay 24, 2023
NPPES CertifiedMay 24, 2023
✔ NPI 1811689268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
3620 MYSTIC VALLEY PKWY APT E315, Medford, MA 02155
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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 Tim Lwanga's NPI number?

The NPI number for Tim Lwanga is 1811689268. It was assigned to this individual provider in the NPPES registry on May 24, 2023.

Where is Tim Lwanga located?

Tim Lwanga practices at 3620 Mystic Valley Pkwy Apt E315, Medford, MA 02155. The listed phone number is (781) 502-1016.

What is Tim Lwanga's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Tim Lwanga was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.