Individual provider Active NPI

Lawrence Ampofo-Appiah

  • Psychiatric/Mental Health Nurse Practitioner
  • Worcester, MA
National Provider Identifier
1467279448
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2284538 Issued in MA
Practice address
9 Hammond St
Worcester, MA 01610-1512
Phone
(508) 219-7189
Fax
(508) 419-7066
NPI assigned
Sep 23, 2024
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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 RN2284538 MA Primary

Addresses

Primary practice location

9 Hammond St
Worcester, MA 01610-1512

Mailing address

9 Hammond St
Worcester, MA 01610-1512
Phone (508) 219-7189

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
I20250210002775 MA Practitioner - Nurse Practitioner 1658691308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mass Behavioral Health Center IncGroup PAC ID 5698152403, 5 clinicians

Practice addresses (Care Compare)

9 Hammond St
Worcester, MA 01610-1512
Phone (508) 219-7189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2284538MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mass Behavioral Health Center Inc CurrentSince Aug 15, 2025 Accepting new patients
Clearbrook Treatment Center Massachusetts LLC Past Accepting new patients

Locations

9 Hammond St
Worcester, MA 01610
Phone (508) 219-7189

Organizations & group practices 2

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": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1467279448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HAMMOND ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016101512",
            "telephone_number": "508-219-7189",
            "fax_number": "508-419-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HAMMOND ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016101512",
            "telephone_number": "508-219-7189",
            "fax_number": "508-419-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMPOFO-APPIAH",
        "first_name": "LAWRENCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2284538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.