Individual provider Active NPI

Peris Kirigo Mbachi, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dudley, MA
National Provider Identifier
1194335133
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN10003638 Issued in MA
Practice address
23 Ash LN
Dudley, MA 01571-3824
Phone
(508) 615-0859
NPI assigned
Aug 4, 2020
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 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 APRN10003638 MA Primary

Addresses

Primary practice location

23 Ash LN
Dudley, MA 01571-3824

Mailing address

23 Ash LN
Dudley, MA 01571-3824
Phone (508) 615-0859

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
I20250522002162 MA Practitioner - Nurse Practitioner 6800315839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

45 Lower Westfield Rd
Holyoke, MA 01040-2747
Phone (844) 727-9794

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN10003638MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifepoint Behavioral Health Physician Services LLC CurrentSince Apr 7, 2025 Accepting new patients
Lifepoint Behavioral Health Physician Services LLC CurrentSince Apr 7, 2025 Accepting new patients

Locations

45 Lower Westfield Rd
Holyoke, MA 01040
Phone (413) 315-4100

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1194335133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ASH LN",
            "city": "DUDLEY",
            "state": "MA",
            "postal_code": "015713824",
            "telephone_number": "508-615-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ASH LN",
            "city": "DUDLEY",
            "state": "MA",
            "postal_code": "015713824",
            "telephone_number": "508-615-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBACHI",
        "first_name": "PERIS",
        "middle_name": "KIRIGO",
        "name_prefix": "Miss",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "APRN10003638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dudley, MA

Sources for this page

Verify at the official NPI Registry.