Individual provider Active NPI

Ezinne Obijiaku

  • Psychiatric/Mental Health Nurse Practitioner
  • Worcester, MA
National Provider Identifier
1154114148
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2354729 Issued in MA
Practice address
309 Belmont St
Worcester, MA 01604-1059
Phone
(857) 312-9702
NPI assigned
May 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 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 RN2354729 MA Primary

Addresses

Primary practice location

309 Belmont St
Worcester, MA 01604-1059

Mailing address

539 Southbridge St Apt 1
Worcester, MA 01610-3700
Phone (857) 312-9702

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
I20250909001832 MA Practitioner - Nurse Practitioner 3274035076 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7877 Willow Chase Blvd
Houston, TX 77070-5934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychplus Medical Associates, PLLC CurrentSince Aug 8, 2025 Accepting new patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Aug 8, 2025 Accepting new patients

Locations

909 Sumner St
Stoughton, MA 02072
Phone (508) 427-2480

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Organizations & group practices 2

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": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1154114148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 SOUTHBRIDGE ST APT 1",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016103700",
            "telephone_number": "857-312-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 BELMONT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041059",
            "telephone_number": "857-312-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIJIAKU",
        "first_name": "EZINNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2354729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.