Still Vitality Care LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

STILL VITALITY CARE LLC

Practice address

45 Dan Rd Ste 125
Canton, MA 02021-2852

Phone

(774) 612-2061

NPI assigned

Jan 24, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Chimezie Joanna Agomoh, PHD, RN PMHNP-BCNPI 1154906980

Title

Psychiatric Nurse Practitioner

Phone

(407) 476-5615

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.

• Chimezie Joanna Agomoh, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Canton, MA
  • NPI 1154906980

  MA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1769212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1982553871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ELIZABETH LN",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791838",
            "telephone_number": "774-212-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 DAN RD STE 125",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212852",
            "telephone_number": "774-612-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL VITALITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-24",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "AGOMOH",
        "authorized_official_first_name": "CHIMEZIE",
        "authorized_official_middle_name": "JOANNA",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "407-476-5615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, RN PMHNP-BC"
    },
    "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": []
}

• Starlight ABA Ma LLC
• Erin Madigan Stathis, LMHC
• Julia Catherine Steinberg, LICSW
• Cathy Stern, O.D.
• Margaret Cunningham Stikeleather, LICSW
• Nancy Stolarz, LICSW
• Amy Sullivan
• Denise Ellen Sullivan, MSW, LICSW
• Hillary G Sussek
• Suved Inc

• All providers in Canton, MA
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.