Organization Active NPI

Graceful Health Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Stoughton, MA
National Provider Identifier
1780552299
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GRACEFUL HEALTH SERVICES PLLC
Practice address
5 Cabot PL
Stoughton, MA 02072-4624
Phone
(508) 657-4428
NPI assigned
Oct 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Lynda O Ikeogu
Title
Owner
Phone
(508) 657-4428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

5 Cabot PL
Stoughton, MA 02072-4624

Mailing address

16 Lancaster Rd
Randolph, MA 02368-4942

National Provider Directory

National Provider Directory

Locations

5 Cabot Pl
Stoughton, MA 02072
Phone (508) 657-4428

NPI Registry JSON

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1780552299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LANCASTER RD",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CABOT PL",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020724624",
            "telephone_number": "508-657-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "O IKEOGU",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-657-4428"
    },
    "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": []
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.