Active NPI
Enel Joseph, CNP
- Psychiatric/Mental Health Nurse Practitioner
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN2304620
- Practice address
- 231 Main St Ste 300
Brockton, MA 02301-4342 - Phone
- (508) 586-2660
- NPI assigned
- Sep 18, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2304620 | MA | Primary |
Addresses
Primary practice location
231 Main St Ste 300
Brockton, MA 02301-4342
Mailing address
500 Westgate Dr # 1039
Brockton, MA 02301-1855
Phone (781) 864-0165
Other practice location 1
500 Westgate Dr # 1039
Brockton, MA 02301-1855
Phone (781) 864-0165
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211202002676 | MA | Practitioner - Nurse Practitioner | 6204143803 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Northeast Health Services LLCSupportive Behavioral Care of Ma LLCThrive Counseling LLC
Practice addresses (Care Compare)
231 Main St
FL 3
Brockton, MA 02301-4342
Phone (508) 586-2660
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 100
- Quality
- 71.18
- Improvement activities
- 40
- Cost
- 75.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2304620 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Current | Accepting new patients | |
| Supportive Behavioral Care of Ma LLC | Current | Accepting new patients |
Locations
44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558
872 Massachusetts Ave
Ste 2-2
Cambridge, MA 02139
Phone 6173804651 ext. 1992
27 Randolph Rd
#A
Howell, NJ 07731
Phone (732) 797-9290
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Taunton, MA
- NPI 1225067481
MA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1508536723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 WESTGATE DR # 1039",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011855",
"telephone_number": "781-864-0165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 MAIN ST STE 300",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014342",
"telephone_number": "508-586-2660"
}
],
"practiceLocations": [
{
"address_1": "500 Westgate Dr # 1039",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023011855",
"country_code": "US",
"telephone_number": "781-864-0165",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOSEPH",
"first_name": "ENEL",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-18",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN2304620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.