Individual provider Active NPI

Phiona Amankwah

  • Psychiatric/Mental Health Nurse Practitioner
  • Worcester, MA
National Provider Identifier
1992599096
Registry record updated Sep 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2341212 Issued in MA
Practice address
12 Queen St
Worcester, MA 01610-2411
Phone
(774) 386-0269
NPI assigned
Apr 5, 2025
Last updated
Sep 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2025

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 RN2341212 MA Primary

Addresses

Primary practice location

12 Queen St
Worcester, MA 01610-2411

Mailing address

12 Queen St
Worcester, MA 01610-2411
Phone (774) 386-0269

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
I20250923001905 MA Practitioner - Nurse Practitioner 9931604832 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boston Neurobehavioral Associates, LLCGroup PAC ID 9436142429, 159 clinicians

Practice addresses (Care Compare)

116 Belmont St
RM 26
Worcester, MA 01605-2964
Phone (508) 979-5557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2341212MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthlink, Inc. CurrentSince Aug 31, 2025 Accepting new patients
Boston Neurobehavioral Associates, LLC CurrentSince Sep 1, 2025 Accepting new patients
Community Healthlink Inc CurrentSince Aug 31, 2025 Accepting new patients

Locations

40 Spruce St
#2
Leominster, MA 01453
Phone (978) 534-6116

226 Field St
New Bedford, MA 02740
Phone (508) 213-1387

116 Belmont St
Rm 26
Worcester, MA 01605

12 Queen St
Worcester, MA 01610
Phone (508) 860-1036

72 Jaques Ave
Worcester, MA 01610
Phone (508) 860-1154

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1743811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758326400000",
    "number": "1992599096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 QUEEN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102411",
            "telephone_number": "774-386-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 QUEEN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102411",
            "telephone_number": "774-386-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMANKWAH",
        "first_name": "PHIONA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-05",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2341212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.