Badu Adjei, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Leominster, MA
NPI 1013604271 · NPPES record last updated May 18, 2023
Key facts
- NPI
- 1013604271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RN2327676 (MA)
- Practice address
- 40 Spruce St
Leominster, MA 01453-3361 - Phone
- (978) 534-6116
- NPI assigned
- Apr 19, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230621000203 | MA | Practitioner - Nurse Practitioner | 1658739859 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2327676 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Healthlink Inc | Current | Accepting new patients | |
| Ajesta Healthcare Services, PLLC | Current |
Accepting new patients | |
| Community Healthlink, Inc. | Current |
Accepting new patients | |
| Zion Health & Wellness LLC | Past |
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) 507-0925
72 Jaques Ave
Worcester, MA 01610
Phone (508) 860-1154
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2327676 | MA | Yes |
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
Other providers in Leominster, MA
- Kweku Acquah
- Youssif Adam
- Alyssa Adams
- Ryan David Adelizi
- Kirsta Adie
- Adom Family Services LLC
- Adult Day Health Center
- Payam Aghassi
- Henry Agri
- Andrew Ahearn
All providers in Leominster, MA · Psychiatric/Mental Health Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.