Individual provider Active NPI

Onyebuchi Ogbo, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Quincy, MA
National Provider Identifier
1982247524
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2274351 Issued in MA
Practice address
859 Willard St Ste 400
Quincy, MA 02169-7469
Phone
(339) 502-0871
NPI assigned
Oct 27, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2274351 MA Primary

Addresses

Primary practice location

859 Willard St Ste 400
Quincy, MA 02169-7469

Mailing address

72 Kilburn St
New Bedford, MA 02740-7321
Phone (339) 502-0871

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
I20200529002518 MA Practitioner - Nurse Practitioner 8426479445 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Path Health Services IncGroup PAC ID 6305258393, 3 clinicians
High Point Treatment Center IncGroup PAC ID 3779578174, 41 clinicians

Practice addresses (Care Compare)

117 Broadway
Norwood, MA 02062-3557
Phone (339) 502-0871

68 N Front St
New Bedford, MA 02740-7327
Phone (508) 992-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2274351MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wagner Medical PC Psychiatric/Mental Health CurrentSince Jan 30, 2026 Accepting new patients
High Point Treatment Center Inc. CurrentSince Aug 17, 2021 Accepting new patients
Health Imperatives Inc. PastSince Apr 6, 2020 Accepting new patients
Day to Day Psychiatric Care & Wellness PLLC PastSince Aug 6, 2023 Accepting new patients

Locations

90 Canal St
Ste 4
Boston, MA 02114
Phone (617) 517-4889

10 Meadowbrook Rd
Brockton, MA 02301
Phone (508) 584-9210

68 N Front St
New Bedford, MA 02740
Phone (508) 689-5576

72 Kilburn St
New Bedford, MA 02740
Phone (774) 213-8448

108 N Front St
New Bedford, MA 02740
Phone (508) 689-5576

1233 State Rd
Plymouth, MA 02360
Phone (508) 224-6527

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1982247524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 KILBURN ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027407321",
            "telephone_number": "339-502-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 WILLARD ST STE 400",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021697469",
            "telephone_number": "339-502-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBO",
        "first_name": "ONYEBUCHI",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-27",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2274351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.