Active NPIIndividual provider

Chimezie J Agomoh, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Canton, Massachusetts

NPI Number1154906980
Practice location
1017 Turnpike St Ste Boffice2, Canton, MA 02021-2853
Fax
949-883-2076
Last updated
September 17, 2026

Chimezie Joanna Agomoh is a Nurse Practitioner, Psych/Mental Health based in Canton, MA. Chimezie Joanna Agomoh practices in Canton, MA and has the professional credentials of PMHNP-BC. The NPI Number for Chimezie Joanna Agomoh is 1154906980 and holds a License No. RN270236 (MA). The current practice location address for Chimezie Joanna Agomoh is 1017 Turnpike St Ste Boffice2, Canton, MA 02021-2853 and can be reached out via phone at 774-202-9533 and via fax at 949-883-2076.

Provider Profile Details

NPI Number
1154906980
Provider Name
Chimezie Joanna Agomoh
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1017 Turnpike St Ste Boffice2, Canton, MA 02021-2853
Phone Number
774-202-9533
Fax Number
949-883-2076
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
March 12, 2021
Last Update Date
September 17, 2026
Certification Date
September 17, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1017 Turnpike St Ste Boffice2
Canton, MA 02021-2853
City
Canton
Zip
02021-2853
Phone Number
774-202-9533
Fax Number
949-883-2076
Canton, MA 02021Get directions →

Provider Business Mailing Address Details

Address
1017 Turnpike St Ste Boffice2
Canton, MA 02021-2853
City
Canton
State
MA
Zip
02021-2853
Phone Number
774-202-9533
Fax Number
949-883-2076

License Information

License Number (1)
RN270236
License State (1)
MA
Taxonomy (1)
Registered Nurse, Psych/Mental Health · 163WP0808X
License Number (2)
RN270236
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Chimezie J Agomoh, PMHNP-BC?

The NPI number of Chimezie J Agomoh, PMHNP-BC is 1154906980. It was assigned on March 12, 2021 and is currently active in the NPPES registry.

What is the specialty of Chimezie J Agomoh, PMHNP-BC?

Chimezie J Agomoh, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN270236.

Where does Chimezie J Agomoh, PMHNP-BC practice?

The practice location is 1017 Turnpike St Ste Boffice2, Canton, MA 02021-2853. The office can be reached at 774-202-9533 (phone) or 949-883-2076 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154906980 directly on the NPPES registry website.

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