Chimezie Joanna Agomoh, PMHNP-BC

Key facts

NPI: 1154906980
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License: RN270236 (MA)
Practice address: 45 Dan Rd Ste 125
Canton, MA 02021-2852
Phone: (774) 212-9033
NPI assigned: Mar 12, 2021
Sex: Female
Sole proprietor: No

Organizations & group practices 3

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.

Northeast Health Services, LLC Mental Health Clinic/Center (Including Community Mental Health Center) · Taunton, MA · NPI 1225067481

Medicare reassignment Care Compare group NPD MA
Starr Psychiatric Center Inc Psychiatry Physician · Brockton, MA · NPI 1871687129

Medicare reassignment NPD MA
Still Vitality Care LLC Psychiatric/Mental Health Nurse Practitioner · Canton, MA · NPI 1982553871

Medicare reassignment MA

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2021
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Northeast Health Services LLC (470 clinicians)

Practice addresses (Care Compare)

94 S Main St
Middleboro, MA 02346-2123
Phone (508) 947-6100

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
I20220420002202	MA	Practitioner - Nurse Practitioner	1658768718	Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
RN270236	MA	MD	Psychiatric/Mental Health Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Northeast Health Services, LLC		Current since Oct 7, 2022	Accepting new patients
Starr Psychiatric Center Inc		Current since Apr 7, 2022	Accepting new patients

Locations

529 Pearl St
Brockton, MA 02301
Phone (508) 580-1616

94 S Main St
Middleboro, MA 02346
Phone (508) 504-8988

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

Interoperability endpoints

FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatric/Mental Health Registered Nurse	163WP0808X	RN270236	MA
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	RN270236	MA	Yes

Addresses

Primary practice location

45 Dan Rd Ste 125
Canton, MA 02021-2852

Mailing address

45 Dan Rd Ste 125
Canton, MA 02021-2852
Phone (407) 476-5615

Other providers in Canton, MA

All providers in Canton, 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 Mar 18, 2026. 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.

Verify at the official NPI Registry.