Individual provider Active NPI

Angela Wandungu

  • Psychiatric/Mental Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1245881598
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2324636 Issued in MA
Practice address
867 Boylston St FL 5
Boston, MA 02116-2774
Phone
(617) 858-1490
Fax
(617) 904-1746
NPI assigned
Sep 26, 2019
Last updated
Oct 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2324636 MA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 2324636 MA

Addresses

Primary practice location

867 Boylston St FL 5
Boston, MA 02116-2774

Mailing address

30 Worthen St Apt A7
Chelmsford, MA 01824-2629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231115000157 MA Practitioner - Nurse Practitioner 9537516414 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2324636MAMDPsychiatric/Mental Health Registered Nurse
RN2324636MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Health Services LLC Psychiatric/Mental Health CurrentSince Oct 12, 2023 Accepting new patients
Comprehensive Health Services, LLC CurrentSince Oct 12, 2023 Accepting new patients
Mindset and Work Mental Health Services Psychiatric/Mental Health Current Accepting new patients
Orenda Psychiatry PLLC Psychiatric/Mental Health Past Accepting new patients

Locations

867 Boylston St
Fl 5
Boston, MA 02116
Phone (617) 221-3202

2 Cthouse Ln
Ste 3
Chelmsford, MA 01824
Phone (978) 275-9444

Organizations & group practices 4

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": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1245881598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WORTHEN ST APT A7",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 BOYLSTON ST FL 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162774",
            "telephone_number": "617-858-1490",
            "fax_number": "617-904-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANDUNGU",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2324636",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2324636",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.