Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Austin Agbonifo

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1750927489

Austin Agbonifo is a Nurse Practitioner in Roxbury, Massachusetts. Qualified in 2019, 7 years ago. Practices with Behavioral Health Network Inc, a 143-clinician group and offers telehealth. Licensed in Massachusetts.

Years since qualifying
7
Licensed in
MA
In the registry since
2019

Practice location Address checks out

36 Westminster Ct Apt E36
Roxbury, MA 02119-1192
Phone: (857) 498-4939
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2312537 (MA)

Record details

NPI number1750927489
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 18, 2019
Last updated in NPPESJanuary 29, 2024
Certification dateJanuary 29, 2024
Mailing address36 Westminster Ct Apt E36, Roxbury, MA 02119-1192

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Behavioral Health Network Inc — 143 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Roxbury