Individual provider Active NPI

Shohana Afroz Paradise, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Marblehead, MA
National Provider Identifier
1124584669
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2286231 Issued in MA
Practice address
74 Atlantic Ave Unit 201B
Marblehead, MA 01945-3067
Phone
(978) 216-3804
Fax
(949) 695-4067
NPI assigned
Feb 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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 RN2286231 MA Primary

Addresses

Primary practice location

74 Atlantic Ave Unit 201B
Marblehead, MA 01945-3067

Mailing address

52 Brookhouse Dr
Marblehead, MA 01945-1611
Phone (978) 216-3804

Other practice location 1

52 Brookhouse Dr
Marblehead, MA 01945-1611
Phone (978) 216-3804

Other names 1

  • Shohana Afroz Former name

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
I20190308001316 MA Practitioner - Nurse Practitioner 6204175250 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

74 Atlantic Ave
Unit 201B
Marblehead, MA 01945-3067
Phone (781) 691-1733

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2286231MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paradise Health Services LLC Adult Health CurrentSince Feb 28, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 25, 2025 Accepting new patients
Colony Care Inc CurrentSince Jan 1, 2025 Accepting new patients
Mindwell Mental Health PLLC Psychiatric/Mental Health PastSince May 25, 2025 Accepting new patients

Locations

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

17 Paradise Rd
Salem, MA 01970
Phone (617) 539-7299

11 River St
Wellesley Hills, MA 02481
Phone (781) 237-7979

11 River St
Ste 1
Wellesley Hls, MA 02481
Phone (508) 695-7447

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1124584669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 BROOKHOUSE DR",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019451611",
            "telephone_number": "978-216-3804",
            "fax_number": "949-695-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 ATLANTIC AVE UNIT 201B",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019453067",
            "telephone_number": "978-216-3804",
            "fax_number": "949-695-4067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Brookhouse Dr",
            "address_purpose": "LOCATION",
            "city": "Marblehead",
            "state": "MA",
            "postal_code": "019451611",
            "country_code": "US",
            "telephone_number": "978-216-3804",
            "fax_number": "949-695-4067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARADISE",
        "first_name": "SHOHANA",
        "middle_name": "AFROZ",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2286231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHOHANA",
            "last_name": "AFROZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marblehead, MA

Sources for this page

Verify at the official NPI Registry.