Individual provider Active NPI

Badu Adjei, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Leominster, MA
National Provider Identifier
1013604271
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2327676 Issued in MA
Practice address
40 Spruce St
Leominster, MA 01453-3361
Phone
(978) 534-6116
NPI assigned
Apr 19, 2023
Last updated
May 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2327676 MA Primary

Addresses

Primary practice location

40 Spruce St
Leominster, MA 01453-3361

Mailing address

40 Spruce St
Leominster, MA 01453-3361
Phone (978) 534-6116

Other practice location 1

209 W Central St Ste 102
Natick, MA 01760-3716
Phone (774) 507-0925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230621000203 MA Practitioner - Nurse Practitioner 1658739859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

72 Jaques Ave
Worcester, MA 01610-2476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2327676MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ajesta Healthcare Services, PLLC CurrentSince May 1, 2023 Accepting new patients
Community Healthlink, Inc. CurrentSince Apr 15, 2023 Accepting new patients
Community Healthlink Inc Current Accepting new patients
Zion Health & Wellness LLC PastSince May 1, 2023 Accepting new patients

Locations

275 Nichols Rd
Fitchburg, MA 01420
Phone (978) 343-5048

40 Spruce St
Leominster, MA 01453
Phone (978) 466-3820

40 Spruce St
#2
Leominster, MA 01453
Phone (978) 534-6116

209 W Central St
Ste 102
Natick, MA 01760
Phone (774) 486-0590

72 Jaques Ave
Worcester, MA 01610
Phone (508) 860-1154

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1013604271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SPRUCE ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533361",
            "telephone_number": "978-534-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SPRUCE ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533361",
            "telephone_number": "978-534-6116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 W Central St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Natick",
            "state": "MA",
            "postal_code": "017603716",
            "country_code": "US",
            "telephone_number": "774-507-0925",
            "fax_number": "508-250-0733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADJEI",
        "first_name": "BADU",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2327676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.