Matilda Boachie, PMHNP

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

234728 Issued in AZ

Practice address

316 W Pinnacle Ridge Dr
San Tan Valley, AZ 85140-7047

Phone

(860) 967-2388

NPI assigned

Jul 21, 2022

Last updated

Jul 21, 2022By the provider in NPPES

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

Other identifiers 1

Other names 1

• Matilda Edziegbe Professional name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Community Bridges IncGroup PAC ID 2062699721, 106 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: matilda.boachienp.p1@direct.cbridges.nextgenshare.com

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.

• Community Bridges, Inc.

  dba CBI - Encompass Page Integrated Health Home

  • Adult Mental Health Clinic/Center
  • Page, AZ
  • NPI 1558095315
  Medicare reassignment Care Compare group NPD
• Hayeshua Serenity Care PLLC

  • Psychiatric/Mental Health Registered Nurse
  • San Tan Valley, AZ
  • NPI 1023892429
  Medicare reassignment NPD Authorized official
• Active Vital Care LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1326825092
  Medicare reassignment NPD
• Angels Valley Community Healthcare Center PLLC

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1689303117
  Medicare reassignment NPD
• Evergreen Healthcare Treatment LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Tan Valley, AZ
  • NPI 1669256079
  Authorized official Same address or phone
• Save US Foundation

  • Public Health or Welfare Agency
  • San Tan Valley, AZ
  • NPI 1144097825
  Authorized official Same address or phone
• West Phoenix Community Care

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1013600956
  Authorized official Same address or phone
• Community Bridges, Inc

  dba Lighthouse

  • Mental Illness Community Based Residential Treatment Facility
  • Yuma, AZ
  • NPI 1861722175
  NPD
• Community Bridges, Inc.

  dba Toole Outpatient Service Center

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1427596196
  NPD
• Community Bridges, Inc.

  dba Community Psychiatric Emergency Center - Outpatient

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1588348775
  NPD
• Perfect Help Home Care, LLC

  • Home Health Agency
  • Manchester, CT
  • NPI 1710478862
  NPD

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306571468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W PINNACLE RIDGE DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407047",
            "telephone_number": "860-967-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W PINNACLE RIDGE DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407047",
            "telephone_number": "860-967-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOACHIE",
        "first_name": "MATILDA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "234728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATILDA",
            "last_name": "EDZIEGBE",
            "credential": "PMHNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Annette Goodman Bigelow, RN
• Frank Creighton Bigelow
• Bika Compassionate Care LLC
• Seth Black, PT, DPT
• Kaylee Nicole Blair
• Louis William Bock, D.C.
• Christopher Lawrence Boeke, PA-C
• Jacklyn Rachelle Boren, COTA/L
• Adam Borgia, DDS
• Brian Boring, M.S. BCBA

• Psychiatry Physician in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• 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.