Brain Dynamic Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BRAIN DYNAMIC PSYCHIATRY PLLC

Practice address

77 Vine St
Weymouth, MA 02188-2307

Phone

(781) 650-1039

NPI assigned

Apr 1, 2022

Organization subpart

No

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

Authorized official

Name

Enoch Anyanwu, MSNNPI 1730799040

Title

Owner of Entity

Phone

(781) 650-1039

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.

• Enoch Anyanwu, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fall River, MA
  • NPI 1730799040
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1760122105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 VINE ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021882307",
            "telephone_number": "781-650-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 VINE ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021882307",
            "telephone_number": "781-650-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN DYNAMIC PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "ANYANWU",
        "authorized_official_first_name": "ENOCH",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "781-650-1039",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget R Boursiquot, MSW, LICSW
• Graham Hochschartner Boyd, MD
• Steven Kenneth Boyle
• Annabelle Bozin
• Allison Brady
• Braintree Weymouth Orthodontics
• Robert Gennaro Brancale, M.D.
• Payton Brandyberry, M.S., L.M.H.C.
• Jill Bravo, MS
• Brittany Brennan, RPH

• Psychiatric/Mental Health Nurse Practitioner in Weymouth, MA
• Providers in Weymouth, 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 Apr 1, 2022; 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.