Active NPI
Intrahealth Alliance LLC
- Psychiatric/Mental Health Nurse Practitioner
- Brockton, MA
National Provider Identifier
1619655800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- INTRAHEALTH ALLIANCE LLC
- Practice address
- 88 Arthur St
Brockton, MA 02302-1803 - Phone
- (774) 433-8837
- Fax
- (614) 505-2870
- NPI assigned
- Jul 7, 2023
- Last updated
- Nov 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abigail Nganye
- Title
- Owner
- Phone
- (781) 535-2317
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
88 Arthur St
Brockton, MA 02302-1803
Mailing address
88 Arthur St
Brockton, MA 02302-1803
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Brockton, MA
- NPI 1528694361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730678400000",
"number": "1619655800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 ARTHUR ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023021803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 ARTHUR ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023021803",
"telephone_number": "774-433-8837",
"fax_number": "614-505-2870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTRAHEALTH ALLIANCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-07",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A",
"authorized_official_last_name": "NGANYE",
"authorized_official_first_name": "ABIGAIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "781-535-2317"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"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 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.