Active NPI
Okechukwu Nnaemeka Uzoeshi, NP
- Psychiatric/Mental Health Nurse Practitioner
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN2291304
- Practice address
- 10 Meadowbrook Rd
Brockton, MA 02301-7122 - Phone
- (508) 408-9200
- Fax
- (857) 241-5492
- NPI assigned
- Sep 30, 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 | RN2291304 | MA | Primary |
Addresses
Primary practice location
10 Meadowbrook Rd
Brockton, MA 02301-7122
Mailing address
960 Massachusetts Ave Ste 2
Boston, MA 02118-2690
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
34 N Pearl St
Brockton, MA 02301-1708
Phone (508) 408-9200
85 E Newton St
Suite 905
Boston, MA 02118-2340
Phone (617) 414-5245
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2291304 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Commonwealth of Massachusetts | Current | Accepting new patients | |
| Uhs of Fuller Inc | Psychiatry | Current | Accepting new patients |
| The Commonwealth of Massachusetts | Current | Accepting new patients | |
| Rays of Hope Psychiatric Services, PLLC | Current | Accepting new patients | |
| The Commonwealth of Massachusetts | Current | Accepting new patients | |
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Boston University Psychiatry Associates, Inc. | Psychiatry | Current | Accepting new patients |
| Boston Medical Center Corporation | Past | Accepting new patients |
Locations
960 Massachusetts Ave
Ste 2
Boston, MA 02118
85 East Newton St
Ste 905
Boston, MA 02118
Phone (617) 414-5245
49 Hillside St
Fall River, MA 02720
Phone (508) 235-7200
200 May St
South Attleboro, MA 02703
Phone (508) 761-8500
Interoperability endpoints
- ouzoeshi238272@direct.bmc.masshiway.net
Organizations & group practices 8
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.
-
- Psychiatry Physician
- Boston, MA
- NPI 1073619854
-
- Psychiatric Hospital
- Fall River, MA
- NPI 1194803288
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Quincy, MA
- NPI 1740974005
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1427111574
-
- Psychiatric Hospital
- Fall River, MA
- NPI 1700964947
-
- Psychiatric Hospital Unit
- Brockton, MA
- NPI 1033854153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1508538208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MASSACHUSETTS AVE STE 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MEADOWBROOK RD",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023017122",
"telephone_number": "508-408-9200",
"fax_number": "857-241-5492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UZOESHI",
"first_name": "OKECHUKWU",
"middle_name": "NNAEMEKA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-30",
"last_updated": "2023-11-14",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN2291304",
"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 Nov 14, 2023; 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.