Individual provider Active NPI

Brenda Kobusingye

  • Psychiatric/Mental Health Nurse Practitioner
  • Waltham, MA
National Provider Identifier
1407556038
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2325391 Issued in MA
Practice address
685 Moody St
Waltham, MA 02453-5148
Phone
(857) 318-3968
NPI assigned
Mar 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2325391 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2325391 MA Primary

Addresses

Primary practice location

685 Moody St
Waltham, MA 02453-5148

Mailing address

45 Lower Westfield Rd
Holyoke, MA 01040-2747

Other identifiers 2

IdentifierTypeStateIssuer
XXXXXXXXXOtherXXXXX
XXXXXXXXXXOtherI DONT HAVE NUMBER

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
I20240425001103 MA Practitioner - Nurse Practitioner 0345680237 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holyoke Capital JV, LLCGroup PAC ID 7517373079, 31 clinicians
Lifepoint Behavioral Health Physician Services, LLCGroup PAC ID 7012370489, 31 clinicians

Practice addresses (Care Compare)

1233 Main St
Holyoke, MA 01040-5381
Phone (413) 264-0819

45 Lower Westfield Rd
Holyoke, MA 01040-2747
Phone (844) 727-9794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Apr 23, 2025 Accepting new patients
Lifepoint Behavioral Health Physician Services LLC CurrentSince Jun 20, 2025 Accepting new patients
Beatus Care PLLC Psychiatric/Mental Health CurrentSince Mar 1, 2023 Accepting new patients
Holyoke Capital JV, LLC CurrentSince Mar 13, 2024 Accepting new patients
Lifepoint Behavioral Health Physician Services LLC CurrentSince Jun 20, 2025 Accepting new patients

Locations

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

1233 Main St
Holyoke, MA 01040
Phone (413) 264-0819

45 Lower Westfield Rd
Holyoke, MA 01040
Phone (413) 315-4100

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1407556038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 LOWER WESTFIELD RD",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 MOODY ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535148",
            "telephone_number": "857-318-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBUSINGYE",
        "first_name": "BRENDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-02",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2325391",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2325391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "XXXXX",
            "identifier": "XXXXXXXXX",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "I DONT HAVE NUMBER",
            "identifier": "XXXXXXXXXX",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.