William Kwame Boafo, PMHNP DNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Enfield, CT
NPI 1407516149 · NPPES record last updated Mar 11, 2026
Key facts
- NPI
- 1407516149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 10237 (CT)
- Practice address
- 9 Christopher Dr
Enfield, CT 06082-5760 - Phone
- (860) 308-3888
- NPI assigned
- Dec 21, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 13
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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, Inc
State of Connecticut
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
- John Dempsey Hospital of the University of Connect
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MA, NH, CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10237 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrivewell Mental Telehealth, PLLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| State of Connecticut | Current |
Accepting new patients | |
| State of Connecticut | Current |
Accepting new patients | |
| Clinical & Support Options, Inc | Current |
Accepting new patients |
Locations
263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477
10 Talcott Notch Rd
Farmington, CT 06032
Phone (860) 679-6700
1 Arch Pl
Greenfield, MA 01301
Phone (413) 773-1000
1 Federal St
Bldg 102-3
Springfield, MA 01105
Phone (413) 734-4978
84 W Broadway
Ste 200
Derry, NH 03038
Phone (508) 484-3034
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10237 | CT | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wboafo16609@direct.med.uchc.edu | Direct |
Other providers in Enfield, CT
- Vanessa Bitencourt
- David Black
- Frederick Neil Bloom
- Matthew Bloom
- Blooming Health Inc
- Chari Bobrowski
- Janeice S Boddie
- Cynthia Bodeur
- Gabrielle M Bodian
- Phillip Boglisch
All providers in Enfield, CT · Psychiatric/Mental Health Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.