BRAIN DYNAMIC PSYCHIATRY PLLC
NPI 1760122105
Nurse Practitioner - Psychiatric/Mental Health in Weymouth, MA
About Brain Dynamic Psychiatry Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRAIN DYNAMIC PSYCHIATRY PLLC (NPI 1760122105) is a healthcare organization registered as a psychiatric/mental health in Weymouth, Massachusetts and active in the NPI registry since April 2022. The organization lists Enoch Anyanwu, Owner Of Entity, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brain Dynamic Psychiatry Pllc 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 Brain Dynamic Psychiatry PLLC, 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 Brain Dynamic Psychiatry PLLC's NPI number?
The NPI number for Brain Dynamic Psychiatry PLLC is 1760122105. It was assigned to this organization in the NPPES registry on April 1, 2022.
Where is Brain Dynamic Psychiatry PLLC located?
Brain Dynamic Psychiatry PLLC is located at 77 Vine St, Weymouth, MA 02188. The listed phone number is (781) 650-1039.
What is Brain Dynamic Psychiatry PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Brain Dynamic Psychiatry PLLC enrolled in Medicare?
Yes. Brain Dynamic Psychiatry PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Brain Dynamic Psychiatry PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Brain Dynamic Psychiatry PLLC. 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.
What insurance does Brain Dynamic Psychiatry PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Brain Dynamic Psychiatry PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Brain Dynamic Psychiatry PLLC was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Brain Dynamic Psychiatry Pllc · NPI 1760122105
Psychiatric/Mental Health organization in Weymouth, Massachusetts. Organization record, active in the CMS NPPES registry since April 1, 2022.
## Identity
- **NPI:** 1760122105 (Entity type: Organization)
- **Enumerated:** April 1, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Enoch Anyanwu, OWNER OF ENTITY
## Practice location
- **Address:** 77 VINE ST, Weymouth, MA 02188-2307
- **Phone:** (781) 650-1039
## 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 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1760122105) · Data from the CMS NPPES public registry.