Active NPI
Akinola Mobolaji, MSN, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Philipsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 401748
- Practice address
- 220 N Front St
Ste 301
Philipsburg, PA 16866-1676 - Phone
- (800) 370-3651
- Fax
- (860) 510-0020
- NPI assigned
- Jul 28, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP015441 | PA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 401748 | NY | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP11181 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5788 | CT |
Addresses
Primary practice location
220 N Front St
Ste 301
Philipsburg, PA 16866-1676
Mailing address
189 Storrs Rd
Mansfield Center, CT 06250-1683
Phone (860) 456-1311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, PA, NY, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
189 Storrs Rd
Mansfield Center, CT 06250-1683
Phone (860) 456-1311
290 Western Blvd
Glastonbury, CT 06033-1236
Phone (860) 652-3325
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP11181 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
| 401748 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
| SP015441 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natchaug Hospital, Inc. | Current | Accepting new patients | |
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Lswhb LLC | Current | Accepting new patients | |
| B Nelson LLC | Psychiatric/Mental Health | Past | Accepting new patients |
| Prohealth Physicians PC | Past | Accepting new patients |
Locations
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
290 Western Blvd
Glastonbury, CT 06033
Phone (860) 652-3325
100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636
189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311
141 Willard Ave
Newington, CT 06111
Phone (860) 666-5601
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964
1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177
Interoperability endpoints
- akinola.mobolaji@xdr.hhchealthdirect.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital
- Mansfield Center, CT
- NPI 1295811321
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
AZ, CT, NY, PA, Psychiatric/Mental Health
-
- Psychiatric/Mental Health Nurse Practitioner
- State College, PA
- NPI 1770173858
-
- Family Medicine Physician
- Farmington, CT
- NPI 1720194053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1083022594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 STORRS RD",
"city": "MANSFIELD CENTER",
"state": "CT",
"postal_code": "062501683",
"telephone_number": "860-456-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 N FRONT ST",
"address_2": "STE 301",
"city": "PHILIPSBURG",
"state": "PA",
"postal_code": "168661676",
"telephone_number": "800-370-3651",
"fax_number": "860-510-0020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOBOLAJI",
"first_name": "AKINOLA",
"name_prefix": "Mr.",
"credential": "MSN, APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-28",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP015441",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "401748",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "AP11181",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "5788",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philipsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.