Austin Agbonifo

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2312537 Issued in MA

Practice address

36 Westminster CT Apt E36
Roxbury, MA 02119-1192

Phone

(857) 498-4939

NPI assigned

Nov 18, 2019

Last updated

Jan 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Behavioral Health Network IncGroup PAC ID 3072596360, 146 clinicians

Community Caring Clinic LLCGroup PAC ID 6002158987, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Behavioral Health Network Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, MA
  • NPI 1477582609
  Medicare reassignment Care Compare group NPD
• Community Caring Clinic LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Roxbury, MA
  • NPI 1184112377
  Medicare reassignment Care Compare group
• Austin Agbonifo

  dba Medications and Prayers for Wellness Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicopee, MA
  • NPI 1992592455
  Authorized official Same address or phone
• Medication and Prayers for Wellness Psychiatry

  • Psychiatric/Mental Health Registered Nurse
  • Chicopee, MA
  • NPI 1881350254
  Authorized official Same address or phone
• Behavioral Health Network, Inc

  • Methadone Clinic
  • Springfield, MA
  • NPI 1669017653
  NPD
• Mental Health Association, Inc.

  • Case Management Agency
  • Chicopee, MA
  • NPI 1326848276
  NPD (past)

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1750927489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WESTMINSTER CT APT E36",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021191192",
            "telephone_number": "857-498-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WESTMINSTER CT APT E36",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021191192",
            "telephone_number": "857-498-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBONIFO",
        "first_name": "AUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-18",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2312537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucresia Adams
• Safina Adatia, MD
• Adeyemi Christanah Adeniyi, A-GNP
• Tamara Adrien
• Ruchir Agarwal, DDS
• Maria Agit
• Oscar David Agudelo
• Ashley Marie Aguiar
• Ana L Aguilar, LCSW
• Wanda Iveth Aguillon

• Psychiatric/Mental Health Nurse Practitioner in Roxbury, MA
• Providers in Roxbury, 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 Jan 29, 2024; 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.

Verify at the official NPI Registry.