Capilona Wellness Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CAPILONA WELLNESS SERVICES LLC

Practice address

58 Main St Ste 3
Sturbridge, MA 01566-1507

Phone

(781) 222-3979

Fax

(774) 206-1044

NPI assigned

Feb 22, 2021

Last updated

Mar 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ayodeji Okorafor, NPNPI 1871091371

Title

Practice Owner

Phone

(781) 222-3979

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Faustina Odoi, RN

  • Psychiatric/Mental Health Registered Nurse
  • Worcester, MA
  • NPI 1033984562
  Medicare reassignment
• Ayodeji E Okorafor, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sturbridge, MA
  • NPI 1871091371
  Authorized official Same address or phone

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1033703848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4334 ACUSHNET AVE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027454614",
            "telephone_number": "781-222-3979",
            "fax_number": "774-206-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 MAIN ST STE 3",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661507",
            "telephone_number": "781-222-3979",
            "fax_number": "774-206-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPILONA WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "OKORAFOR",
        "authorized_official_first_name": "AYODEJI",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "781-222-3979",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Brewster
• Colleen Briggs
• Katie Marie Brossi
• Adaysia Bryant
• Brandon A Campo
• Osmanny Cardona, BCBA
• Anastasia Carter, LICSW
• Cater 2 Kids OT
• Peter Earle Cestodio, NP
• Martha G Charley, FNP

• Psychiatric/Mental Health Nurse Practitioner in Sturbridge, MA
• Providers in Sturbridge, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.