Individual provider Active NPI

Obioma Linda Okeke

  • Psychiatric/Mental Health Nurse Practitioner
  • Brockton, MA
National Provider Identifier
1558064659
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2330220 Issued in MA
Practice address
53 Norwich Rd
Brockton, MA 02302-2138
Phone
(617) 543-5448
Fax
(774) 209-4367
NPI assigned
Mar 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN2330220 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2330220 MA Primary

Addresses

Primary practice location

53 Norwich Rd
Brockton, MA 02302-2138

Mailing address

34 N Pearl St
Brockton, MA 02301-1708
Phone (617) 543-5448

Other names 1

  • Miss Obioma Linda Ekekezie Former name

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
I20240416003485 MA Practitioner - Nurse Practitioner 2365881810 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mattapan Community Health Center, Inc.Group PAC ID 2062423866, 25 clinicians
Supportive Behavioral Care of Ma LLCGroup PAC ID 8628346731, 103 clinicians

Practice addresses (Care Compare)

1017 Turnpike St
Canton, MA 02021-2828

1575 Blue Hill Ave
Boston, MA 02126-2122
Phone (617) 296-0061

44 School St
RM 325
Boston, MA 02108-4209
Phone (718) 298-4375

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jan 28, 2025 Accepting new patients
Mattapan Community Health Center Inc CurrentSince Mar 23, 2026 Accepting new patients
Boston Neurobehavioral Associates, LLC CurrentSince Mar 20, 2024 Accepting new patients
Supportive Behavioral Care of Ma LLC CurrentSince Mar 1, 2025 Accepting new patients
Light Behavioral Health, PLLC Psychiatric/Mental Health CurrentSince Sep 1, 2025 Accepting new patients

Locations

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

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

1017 Turnpike St
Ste 36B
Canton, MA 02021
Phone (617) 943-5606

1575 Blue Hill Ave
Mattapan, MA 02126
Phone (617) 296-0061

226 Field St
New Bedford, MA 02740
Phone (508) 817-5129

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

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1558064659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 N PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011708",
            "telephone_number": "617-543-5448",
            "fax_number": "774-209-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 NORWICH RD",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022138",
            "telephone_number": "617-543-5448",
            "fax_number": "774-209-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEKE",
        "first_name": "OBIOMA",
        "middle_name": "LINDA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2330220",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2330220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OBIOMA",
            "last_name": "EKEKEZIE",
            "middle_name": "LINDA",
            "prefix": "MISS",
            "credential": "PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.