ADULLAM INTEGRATED PSYCHIATRY
NPI 1265288658
Nurse Practitioner - Psychiatric/Mental Health in Boston, MA
About Adullam Integrated Psychiatry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADULLAM INTEGRATED PSYCHIATRY (NPI 1265288658) is a healthcare organization registered as a psychiatric/mental health in Boston, Massachusetts and active in the NPI registry since April 2024. The organization lists Derick Yensila Ngoran, Pmhnp-bc, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Adullam Integrated Psychiatry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Adullam Integrated Psychiatry, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Adullam Integrated Psychiatry's NPI number?
The NPI number for Adullam Integrated Psychiatry is 1265288658. It was assigned to this organization in the NPPES registry on April 25, 2024.
Where is Adullam Integrated Psychiatry located?
Adullam Integrated Psychiatry is located at 155 Federal St Ste 700, Boston, MA 02110. The listed phone number is (701) 610-1994.
What is Adullam Integrated Psychiatry's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Adullam Integrated Psychiatry enrolled in Medicare?
Yes. Adullam Integrated Psychiatry is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Adullam Integrated Psychiatry?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Adullam Integrated Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Adullam Integrated Psychiatry was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Adullam Integrated Psychiatry · NPI 1265288658
Psychiatric/Mental Health organization in Boston, Massachusetts. Organization record, active in the CMS NPPES registry since April 25, 2024.
## Identity
- **NPI:** 1265288658 (Entity type: Organization)
- **Enumerated:** April 25, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Derick Ngoran, PMHNP-BC
## Practice location
- **Address:** 155 FEDERAL ST STE 700, Boston, MA 02110-1727
- **Phone:** (701) 610-1994
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1265288658) · Data from the CMS NPPES public registry.