Individual provider Active NPI

Dorcas Oyebisi Adeniyi, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brockton, MA
National Provider Identifier
1407545700
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2268406 Issued in MA
Practice address
356 Prospect St
Brockton, MA 02301-3368
Phone
(617) 595-2457
NPI assigned
May 2, 2023
Last updated
May 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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 RN2268406 MA Primary

Addresses

Primary practice location

356 Prospect St
Brockton, MA 02301-3368

Mailing address

356 Prospect St
Brockton, MA 02301-3368
Phone (617) 595-2457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20231005002113 MA Practitioner - Nurse Practitioner 8224483508 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians
Supportive Behavioral Care of Ma LLCGroup PAC ID 8628346731, 103 clinicians

Practice addresses (Care Compare)

Brockton, MA 02301
Phone (617) 217-8255

101 Adams St
Suite 26
Quincy, MA 02169-2022
Phone (855) 284-7483

44 School St
RM 325
Boston, MA 02108-4209
Phone (718) 298-4375

872 Mass Ave
Suite 2 2
Cambridge, MA 02139-3072
Phone (855) 284-7483

Merit-based Incentive Payment System (MIPS)

Final score
86.67 of 100Reported as group
Quality
71.18
Improvement activities
40
Cost
75.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Nov 3, 2025 Accepting new patients
Gods Own Holistic Behavioral Counseling PC Psychiatric/Mental Health CurrentSince May 7, 2023 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 15, 2025 Accepting new patients
Priority Professional Care, LLC CurrentSince Feb 21, 2024 Accepting new patients
God's Own Holistic Behavioral Health Services Inc Psychiatric/Mental Health CurrentSince Dec 1, 2024 Accepting new patients
Sondermind Provider Network LLC Psychiatric/Mental Health CurrentSince Oct 1, 2025 Accepting new patients
Supportive Behavioral Care of Ma LLC CurrentSince Sep 15, 2023 Accepting new patients

Locations

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

90 Canal St
Ste 4
Boston, MA 02114
Phone (617) 517-4889

872 Massachusetts Ave
Ste 2-2
Cambridge, MA 02139
Phone (617) 395-5806

51 Neponset Ave
Dorchester, MA 02122
Phone (617) 368-0820

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 7

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": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1407545700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 PROSPECT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013368",
            "telephone_number": "617-595-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 PROSPECT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013368",
            "telephone_number": "617-595-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADENIYI",
        "first_name": "DORCAS",
        "middle_name": "OYEBISI",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2268406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.