Exta Oppong Tweneboa

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN276084 Issued in MA

Practice address

100 Century Dr
Worcester, MA 01606-1244

Phone

(774) 232-4084

NPI assigned

Nov 9, 2022

Last updated

Nov 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

T Massachusetts, LLCGroup PAC ID 6901159003, 20 clinicians

Westborough Behavioral Healthcare Hospital, LLCGroup PAC ID 6305103250, 12 clinicians

Advanced Psych Services LLCGroup PAC ID 2961667498, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Advanced Psych Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Worcester, MA
  • NPI 1750648689
  Medicare reassignment Care Compare group NPD
• T Massachusetts, LLC

  dba Hospital for Behavioral Medicine

  • Psychiatric Hospital
  • Worcester, MA
  • NPI 1346728748
  Medicare reassignment Care Compare group NPD
• Westborough Behavioral Healthcare Hospital, LLC

  dba Westborough Professional Associates, LLC

  • Psychiatry Physician
  • Westborough, MA
  • NPI 1821565425
  Medicare reassignment Care Compare group NPD
• Kobbex Behavioral Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Boylston, MA
  • NPI 1447957519
  Medicare reassignment Authorized official
• Supportive Behavioral Care of Ma LLC

  • Clinical Psychologist
  • Needham, MA
  • NPI 1780115519
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  MA, Psychiatric/Mental Health

  Medicare reassignment NPD
• Advanced Psych Services, LLC

  • Multi-Specialty Clinic/Center
  • Worcester, MA
  • NPI 1992199830
  NPD
• Westborough Behavioral Healthcare Hospital, LLC

  dba Westborough Behavioral Healthcare Hospital

  • Psychiatric Hospital
  • Westborough, MA
  • NPI 1861901910
  NPD

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1427766492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E COUNTY RD",
            "city": "RUTLAND",
            "state": "MA",
            "postal_code": "015432036",
            "telephone_number": "774-232-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTURY DR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016061244",
            "telephone_number": "774-232-4084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Lake Ave N Ste 101",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052073",
            "country_code": "US",
            "telephone_number": "508-753-3220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 William St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016092161",
            "country_code": "US",
            "telephone_number": "774-389-6546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TWENEBOA",
        "first_name": "EXTA",
        "middle_name": "OPPONG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN276084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Nicole Tuza, MCD,CCC-SLP
• TVCG Harrington PLLC
• TVCG Um PLLC
• Brian M Tveliajr
• Debra A Twehous, M.D.
• Miranda Nina Twining
• Edward Nana Twum-Barimah
• Theodora Twumasi-Ankrah
• Prisca Twumasi
• Rosemary Twumasi, RN

• Psychiatric/Mental Health Nurse Practitioner in Worcester, MA
• Providers in Worcester, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.