Abdonne Ngo Nyele Mbouadeu, DNP/ PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2296343 Issued in MA

Practice address

98 Lower Westfield Rd Ste 101
Holyoke, MA 01040-2744

Phone

(603) 305-2169

NPI assigned

Oct 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 4

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Divine Restoration Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Holyoke, MA
  • NPI 1184338618
  Medicare reassignment NPD Authorized official
• Devens Treatment & Recovery Center, LLC

  • Psychiatry Physician
  • Devens, MA
  • NPI 1811473267

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Holyoke Capital JV, LLC

  • Psychiatric Hospital
  • Holyoke, MA
  • NPI 1649856618
  Medicare reassignment NPD
• Lifepoint Behavioral Health Physician Services LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Holyoke, MA
  • NPI 1851075378
  Medicare reassignment NPD
• Lifepoint Behavioral Health Physician Services LLC

  • Psychiatry Physician
  • Tucson, AZ
  • NPI 1427815554
  NPD

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1184221046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 LOWER WESTFIELD RD STE 101",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402744",
            "telephone_number": "774-402-1993",
            "fax_number": "774-402-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 LOWER WESTFIELD RD STE 101",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402744",
            "telephone_number": "603-305-2169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1233 Main St",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "010405381",
            "country_code": "US",
            "telephone_number": "413-701-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 Patton Rd",
            "address_purpose": "LOCATION",
            "city": "Devens",
            "state": "MA",
            "postal_code": "014344401",
            "country_code": "US",
            "telephone_number": "978-615-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MBOUADEU",
        "first_name": "ABDONNE",
        "middle_name": "NGO NYELE",
        "credential": "DNP/ PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2296343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Healthcare",
            "affiliation": "Y",
            "affiliationName": "Devens Treatment & Recovery Center, LLC",
            "address_1": "85 Patton Rd",
            "city": "Devens",
            "state": "MA",
            "country_code": "US",
            "postal_code": "014344401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "98 Lower Westfield Rd Ste 101",
            "city": "Holyoke",
            "state": "MA",
            "country_code": "US",
            "postal_code": "010402744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Healthcare",
            "affiliation": "Y",
            "affiliationName": "Devens Treatment & Recovery Center, LLC",
            "address_1": "85 Patton Rd",
            "city": "Devens",
            "state": "MA",
            "country_code": "US",
            "postal_code": "014344401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "98 Lower Westfield Rd Ste 101",
            "city": "Holyoke",
            "state": "MA",
            "country_code": "US",
            "postal_code": "010402744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Martine Maxwell
• Ashley May, PA-C
• Charles William May
• Jamie Mazur
• John Joseph Mazzucco, M.D.
• Angela McAdam
• Samuel Isaac McArthur Jr., PA-C
• Edna Lee McAveney, LICSW
• James W McCann, D.C,
• Connor McCarthy

• Psychiatric/Mental Health Nurse Practitioner in Holyoke, MA
• Providers in Holyoke, 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 Nov 12, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.