God'S Own Holistic Behavioral Health Services Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GOD'S OWN HOLISTIC BEHAVIORAL HEALTH SERVICES INC

Practice address

356 Prospect St
Brockton, MA 02301-3368

Phone

(617) 217-8255

NPI assigned

Dec 23, 2024

Organization subpart

No

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

Authorized official

Name

Dorcas Adeniyi, PMHNPNPI 1407545700

Title

Sole Owner & Pmhnp

Phone

(617) 217-8255

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dorcas Oyebisi Adeniyi, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brockton, MA
  • NPI 1407545700
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1619785516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 PROSPECT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013368",
            "telephone_number": "617-217-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 PROSPECT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013368",
            "telephone_number": "617-217-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOD'S OWN HOLISTIC BEHAVIORAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "ADENIYI",
        "authorized_official_first_name": "DORCAS",
        "authorized_official_title_or_position": "SOLE OWNER & PMHNP",
        "authorized_official_telephone_number": "617-217-8255",
        "authorized_official_credential": "PMHNP"
    },
    "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": []
}

• Sasha Gittens, M.D.
• Emily Ketterling Gjini, MD
• Marianne Ruskay Glassanos, PNP
• Amy Gleicher, LCSW
• Eva Glieberman, NP
• Zakisha A Godfrey, NP, PMHNP-BC
• Joshua Godwin, MD
• Godzsquadz Helping Handz LLC
• Amy Patricia Goffredo, LCSW
• Nikhil Gohokar, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Brockton, MA
• Providers in Brockton, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.