Individual provider Active NPI

Enoch Anyanwu, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fall River, MA
National Provider Identifier
1730799040
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2278399 Issued in MA
Practice address
386 Stanley St
Fall River, MA 02720-6009
Phone
(508) 679-5222
Fax
(508) 324-7777
NPI assigned
Aug 3, 2020
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 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 Nurse Practitioner 363LP0808X RN2278399 MA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 2020016554 MA

Addresses

Primary practice location

386 Stanley St
Fall River, MA 02720-6009

Mailing address

77 Vine Street Weymouth
Weymouth, MA 02188

Other practice location 1

2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6000

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL www.nwh.org Direct
CONNECT URL www.nwh.org Direct
CONNECT URL www.nwh.org Direct

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
I20210120002192 MA Practitioner - Nurse Practitioner 7315351020 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bay Coast Behavioral LLCGroup PAC ID 2365888575, 5 clinicians

Practice addresses (Care Compare)

170 Pleasant St
Suite 100
Fall River, MA 02721-3015
Phone (774) 294-5722

386 Stanley St
Fall River, MA 02720-6009
Phone (508) 324-3550

77 Vine St
Weymouth, MA 02188-2307
Phone (781) 650-1039

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020016554MAMDPsychiatric/Mental Health Registered Nurse
RN2278399MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Coast Behavioral, LLC Psychiatric/Mental Health CurrentSince Mar 19, 2024 Accepting new patients
Stanley Street Treatment and Resources, Inc. CurrentSince Jan 15, 2021 Accepting new patients
Brain Dynamic Psychiatry PLLC Psychiatric/Mental Health CurrentSince Sep 22, 2021 Accepting new patients
Stanley Street Treatment and Resources, Inc CurrentSince Jan 15, 2021 Accepting new patients

Locations

140 Wood Rd
Ste 403
Braintree, MA 02184
Phone (781) 817-6054

170 Pleasant St
Ste 100
Fall River, MA 02721
Phone (774) 294-5722

386 Stanley St
Fall River, MA 02720
Phone (508) 324-3550

Interoperability endpoints

  • Direct secure messaging: enoch.anyanwu.p2@direct.sstar.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1730799040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 VINE STREET WEYMOUTH",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "02188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 STANLEY ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027206009",
            "telephone_number": "508-679-5222",
            "fax_number": "508-324-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2014 Washington St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "MA",
            "postal_code": "024621607",
            "country_code": "US",
            "telephone_number": "617-243-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANYANWU",
        "first_name": "ENOCH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-03",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2278399",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2020016554",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.nwh.org",
            "affiliation": "N",
            "endpointDescription": "Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2014 Washington St",
            "city": "Newton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024621607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.nwh.org",
            "affiliation": "N",
            "endpointDescription": "Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2014 Washington St",
            "city": "Newton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024621607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.nwh.org",
            "affiliation": "N",
            "endpointDescription": "Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2014 Washington St",
            "city": "Newton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024621607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.