NPIMap

Organization Active NPI

Austin Agbonifo

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicopee, MA
National Provider Identifier
1992592455
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
AUSTIN AGBONIFO
Practice address
19 John St
Chicopee, MA 01013-2326
Phone
(857) 498-4939
NPI assigned
Apr 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Austin Agbonifo
Title
Owner
Phone
(857) 498-4939

Specialties & licenses 1

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

Addresses

Primary practice location

19 John St
Chicopee, MA 01013-2326

Mailing address

19 John St
Chicopee, MA 01013-2326

Other names 1

  • Medications and Prayers for Wellness Psychiatry Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1992592455",
    "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": "AUSTIN AGBONIFO",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "AGBONIFO",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-498-4939"
    },
    "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": [
        {
            "organization_name": "Medications and Prayers for Wellness Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 21, 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.