MAHOGANY ARMSTEAD — NPI 1316400104 (Licensed & Credentialed Behavior Analyst in LINCOLN, RI)

CMS-1500 Box 24J / 33a • NPI

1316400104

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103K00000X

Licensed & Credentialed Behavior Analyst

Box 32 Service Location & ZIP+4

24 ALBION RD STE 320, LINCOLN, RI, 02865-3744

✓ 9-Digit EDI 837 ZIP+4 (02865-3744)

Practice Phone & Referral Fax

(855) 295-3276

Fax: (888) 588-2752

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1316400104 (MAHOGANY ARMSTEAD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1316400104` (NPI-1 Individual Practitioner)
Provider / Legal Name	MAHOGANY ARMSTEAD
Plain-English Specialty	Licensed & Credentialed Behavior Analyst NUCC Code: `103K00000X` (Behavior Analyst)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	24 ALBION RD STE 320, LINCOLN, RI, 02865-3744
Practice Telephone / Fax	Tel: (855) 295-3276 \| Fax: (888) 588-2752
Administrative Mailing Address	1333 S MAYFLOWER AVE STE 220, MONROVIA, CA, 91016-5239
Enumeration & Last Sync	Enumerated: 2019-04-09 \| CMS Record Updated: 2026-02-26

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

24 ALBION RD STE 320, LINCOLN, RI, 02865-3744

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Plain-English Taxonomy & CMS Crosswalk (103K00000X)

What Does Taxonomy Code 103K00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103K00000X translates to:
"Licensed & Credentialed Behavior Analyst"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Behavior Analyst for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MAHOGANY ARMSTEAD)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103K00000X` — Behavior Analyst Plain English: Licensed & Credentialed Behavior Analyst	State: N/A \| License: `1-20-46363` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MAHOGANY ARMSTEAD (NPI #1316400104)