Individual provider Active NPI

William Kwame Boafo, PMHNP DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Enfield, CT
National Provider Identifier
1407516149
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10237 Issued in CT
Practice address
9 Christopher Dr
Enfield, CT 06082-5760
Phone
(860) 308-3888
NPI assigned
Dec 21, 2021
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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 10237 CT Primary

Addresses

Primary practice location

9 Christopher Dr
Enfield, CT 06082-5760

Mailing address

9 Christopher Dr
Enfield, CT 06082-5760
Phone (860) 308-3888

Other practice location 1

10 Talcott Notch Rd
Farmington, CT 06032-6410
Phone (860) 679-6700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wboafo16609@direct.med.uchc.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH, CT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230330002514 MA Practitioner - Nurse Practitioner 4183099385 Reassigns benefits to 1 organization
I20250227003716 NH Practitioner - Nurse Practitioner 4183099385 Reassigns benefits to 1 organization
I20251013000256 CT Practitioner - Nurse Practitioner 4183099385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical and Support Options, IncGroup PAC ID 6608835350, 103 clinicians
State of ConnecticutGroup PAC ID 8022915677, 267 clinicians

Practice addresses (Care Compare)

1 Federal St
BLDG 102 3
Springfield, MA 01105-2390
Phone (413) 737-9544

120 Dowling Way
Uconn Health Ancillary SVCS
Farmington, CT 06030-3800
Phone (860) 679-2784

135 Dowling Way
Farmington, CT 06030-3800
Phone (860) 679-2784

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-2000

84 W Broadway
Suite 200
Derry, NH 03038-2323
Phone (603) 553-7993

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10237CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut CurrentSince Sep 1, 2025 Accepting new patients
Thrivewell Mental Telehealth, PLLC Psychiatric/Mental Health CurrentSince Jan 22, 2025 Accepting new patients
State of Connecticut CurrentSince Sep 1, 2025 Accepting new patients
Clinical & Support Options, Inc CurrentSince Feb 27, 2023 Accepting new patients

Locations

10 Talcott Notch Rd
Farmington, CT 06032
Phone (860) 679-6700

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

1 Arch Pl
Greenfield, MA 01301
Phone (413) 773-1000

1 Federal St
Bldg 102-3
Springfield, MA 01105
Phone (413) 737-3544

84 W Broadway
Ste 200
Derry, NH 03038
Phone (508) 484-3034

Interoperability endpoints

  • Direct secure messaging: wboafo16609@direct.med.uchc.edu

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1407516149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CHRISTOPHER DR",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060825760",
            "telephone_number": "860-308-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CHRISTOPHER DR",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060825760",
            "telephone_number": "860-308-3888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Talcott Notch Rd",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060326410",
            "country_code": "US",
            "telephone_number": "860-679-6700",
            "fax_number": "860-679-6736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOAFO",
        "first_name": "WILLIAM",
        "middle_name": "KWAME",
        "name_prefix": "Mr.",
        "credential": "PMHNP DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-21",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "10237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wboafo16609@direct.med.uchc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10 Talcott Notch Rd",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060326410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

Verify at the official NPI Registry.