Gabriel Agim
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Dedham, MA
NPI 1366398802 · NPPES record last updated Mar 6, 2026
Key facts
- NPI
- 1366398802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RN2262867 (MA)
- Practice address
- 330 Whiting Ave
Dedham, MA 02026-3209 - Phone
- (857) 719-2151
- NPI assigned
- Mar 6, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2262867 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2262867 | MA | Yes |
Addresses
Primary practice location
330 Whiting Ave
Dedham, MA 02026-3209
Mailing address
330 Whiting Ave
Dedham, MA 02026-3209
Phone (857) 719-2151
Other providers in Dedham, MA
- Michael Robert Adams
- Adfiliare Psychotherapy Inc
- Advanced Ancillary Services PLLC
- Advanced Psychiatric Services PLLC
- Afc Physicians of Massachusetts, PC
- Dawn Lee Ahaesy
- Ethel Akhibi-Ireo
- Eloho Ejiro Akpovi
- Lisa Catherine Alcala
- Dimitri Aldophe
All providers in Dedham, MA · Psychiatric/Mental Health Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.