Individual provider Active NPI

Emelda Iwobi, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brockton, MA
National Provider Identifier
1538895016
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2294985 Issued in MA
Practice address
62 Temi Rd
Brockton, MA 02302-3049
Phone
(857) 251-2229
NPI assigned
Jul 27, 2022
Last updated
May 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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 2294985 MA Primary

Addresses

Primary practice location

62 Temi Rd
Brockton, MA 02302-3049

Mailing address

62 Temi Rd
Brockton, MA 02302-3049
Phone (857) 251-2229

Other identifiers 1

IdentifierTypeStateIssuer
1982190542OtherMAHOME CARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL n/a Other

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
I20221219001316 MA Practitioner - Nurse Practitioner 8022487826 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
High Point Treatment Center IncGroup PAC ID 3779578174, 41 clinicians

Practice addresses (Care Compare)

30 Meadowbrook Rd
Brockton, MA 02301-7122
Phone (508) 742-4424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2294985MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
High Point Treatment Center Inc. CurrentSince Oct 31, 2022 Accepting new patients
Supportive Behavioral Care of Ma LLC CurrentSince Oct 17, 2022 Accepting new patients
Mental Health Specialty Group PA CurrentSince Feb 1, 2026 Accepting new patients
Mental Guidance LLC Psychiatric/Mental Health CurrentSince Aug 25, 2025 Accepting new patients
To-Shankel Healthcare Services LLC CurrentSince Jul 31, 2022 Accepting new patients

Locations

101 Federal St
Boston, MA 02110
Phone (206) 744-8030

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

10 Meadowbrook Rd
Brockton, MA 02301
Phone (508) 584-9210

30 Meadowbrook Rd
Brockton, MA 02301
Phone (508) 408-6190

108 N Front St
New Bedford, MA 02740
Phone (508) 689-5576

68 N Front St
New Bedford, MA 02740
Phone (508) 689-5576

72 Kilburn St
New Bedford, MA 02740
Phone (774) 213-8448

1233 State Rd
Plymouth, MA 02360
Phone (508) 224-6527

61 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 746-8977

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

27 Randolph Rd
#A
Howell, NJ 07731
Phone (732) 797-9290

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, 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": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1538895016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 TEMI RD",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023049",
            "telephone_number": "857-251-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 TEMI RD",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023049",
            "telephone_number": "857-251-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWOBI",
        "first_name": "EMELDA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2294985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE",
            "identifier": "1982190542",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "endpointDescription": "n/a",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "n/a",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "62 Temi Rd",
            "city": "Brockton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023023049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.