Organization Active NPI

Eleanor Health Professional Ma, PLLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Brockton, MA
National Provider Identifier
1205446374
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
ELEANOR HEALTH PROFESSIONAL MA, PLLC
Practice address
348 N Pearl St Ste 200
Brockton, MA 02301-1197
Phone
(508) 210-1163
NPI assigned
Aug 4, 2020
Last updated
Aug 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Nzinga Harrison, MDNPI 1518099910
Title
Owner
Phone
(781) 230-6838

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Addiction Medicine (Family Medicine) Physician 207QA0401X NU
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X NU Primary
Psychiatry Physician 2084P0800X NU
Addiction Psychiatry Physician 2084P0802X NU

Addresses

Primary practice location

348 N Pearl St Ste 200
Brockton, MA 02301-1197

Mailing address

PO Box 386
Portsmouth, NH 03802-0386

Other practice location 1

108 Grove St Ste 200
Worcester, MA 01605-2651
Phone (866) 420-5113

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201230001583 MA Part B Supplier - Clinic/Group Practice 7416360946 Receives reassigned benefits from 12 practitioners
Practice locations: Brockton, MA; Worcester, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2197906Eleanor Health Professional Ma, PLLC - Worcester108 Grove Street, Unit 200, Worcester, MA 01605Certificate of waiverOct 27, 2026
22D2272138Eleanor Health Professional Ma, PLLC - Brockton348 N Pearl St Suite 200, Brockton, MA 02301Certificate of waiverNov 14, 2026

National Provider Directory

National Provider Directory

Locations

348 N Pearl St
Ste 200
Brockton, MA 02301
Phone (508) 210-1163

325 Chelmsford St
Unit 6
Lowell, MA 01851
Phone (978) 321-0750

108 Grove St
Ste 200
Worcester, MA 01605
Phone (774) 460-8436

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1205446374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 386",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038020386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 N PEARL ST STE 200",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011197",
            "telephone_number": "508-210-1163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Grove St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052651",
            "country_code": "US",
            "telephone_number": "866-420-5113",
            "fax_number": "833-963-2102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELEANOR HEALTH PROFESSIONAL MA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "NZINGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-230-6838",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (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.