Active NPI
Emelda Iwobi, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2294985
- Practice address
- 62 Temi Rd
Brockton, MA 02302-3049 - Phone
- (857) 251-2229
- NPI assigned
- Jul 27, 2022
- Last updated
- May 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982190542 | Other | MA | HOME CARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2294985 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Point Treatment Center Inc. | Current | Accepting new patients | |
| Supportive Behavioral Care of Ma LLC | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Mental Guidance LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| To-Shankel Healthcare Services LLC | Current | 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.
-
- Counselor
- New Bedford, MA
- NPI 1518996354
-
- Psychiatric/Mental Health Nurse Practitioner
- Braintree, MA
- NPI 1972489359
-
- Clinical Psychologist
- Needham, MA
- NPI 1780115519
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
MA
-
- Home Health Agency
- Brockton, MA
- NPI 1982190542
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.