Organization Active NPI

Medication and Prayers for Wellness Psychiatry

  • Psychiatric/Mental Health Registered Nurse
  • Chicopee, MA
National Provider Identifier
1881350254
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
Legal business name
MEDICATION AND PRAYERS FOR WELLNESS PSYCHIATRY
Practice address
19 John St
Chicopee, MA 01013-2326
Phone
(857) 498-4939
NPI assigned
Nov 10, 2021
Last updated
Nov 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Austin AgbonifoNPI 1750927489
Title
Founder
Phone
(857) 498-4939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WP0808X Primary

Addresses

Primary practice location

19 John St
Chicopee, MA 01013-2326

Mailing address

19 John St
Chicopee, MA 01013-2326

National Provider Directory

National Provider Directory
Tax ID family
Austin Agbonifo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1881350254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 JOHN ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010132326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 JOHN ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010132326",
            "telephone_number": "857-498-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICATION AND PRAYERS FOR WELLNESS PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "AGBONIFO",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "857-498-4939"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicopee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.