Organization Active NPI

Good Path Health Services Inc

  • Adult Mental Health Clinic/Center
  • Norwood, MA
National Provider Identifier
1194324533
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
GOOD PATH HEALTH SERVICES INC
Practice address
117 Broadway
Norwood, MA 02062-3557
Phone
(339) 502-0871
Fax
(786) 590-1954
NPI assigned
Oct 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Onyebuchi Ogbo, PMHNP-BCNPI 1982247524
Title
Ceo
Phone
(339) 502-0871

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Health Service Clinic/Center 261QH0100X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

117 Broadway
Norwood, MA 02062-3557

Mailing address

117 Broadway
Norwood, MA 02062-3557
Phone (339) 502-0871

Other practice location 1

40 Harding Ter
Dedham, MA 02026-0007
Phone (339) 502-0871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201216000649 MA Part B Supplier - Clinic/Group Practice 6305258393 Receives reassigned benefits from 6 practitioners
Practice locations: South Boston, MA; Norwood, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1194324533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 BROADWAY",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623557",
            "telephone_number": "339-502-0871",
            "fax_number": "786-590-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 BROADWAY",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623557",
            "telephone_number": "339-502-0871",
            "fax_number": "786-590-1954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Harding Ter",
            "address_purpose": "LOCATION",
            "city": "Dedham",
            "state": "MA",
            "postal_code": "020260007",
            "country_code": "US",
            "telephone_number": "339-502-0871",
            "fax_number": "786-590-1954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOOD PATH HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-17",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "OGBO",
        "authorized_official_first_name": "ONYEBUCHI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "339-502-0871",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.