Edwin Japheth Agbonavbare
CNP | Nurse Practitioner - Psych/Mental Health | 6+ years Exp
100 Corporate Pl Ste 303, Peabody
Massachusetts, 01960-3809
781-640-1791
Edwin Japheth Agbonavbare is a Peabody, Massachusetts based nurse practitioner with 6 years of experience in Psych/Mental Health. He completed his graduation in 2019. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Edwin Japheth Agbonavbare is RN2277840 for Psych/Mental Health in Massachusetts. His current practice location is 100 Corporate Pl Ste 303, Peabody. Patients can reach him at 781-640-1791. Edwin Japheth Agbonavbare is CNP with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1386007631.
Edwin Japheth Agbonavbare provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Edwin Japheth Agbonavbare speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Edwin Japheth Agbonavbare |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Male |
| Credentials: | CNP |
| Experience: | 6+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2019 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 100 Corporate Pl Ste 303, Peabody,
Massachusetts, 01960-3809 |
| Phone: | 781-640-1791 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
| PAC ID: | 5496168080 |
| Enrollment ID: | I20201228000824 |
| NPI Number: | 1386007631 |
| NPI Enumeration Date: | 04 Apr, 2016 |
| NPI Last Update On: | 10 Dec, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Edwin Japheth Agbonavbare are as mentioned below.
| License Number | Specialization | State | Status | |
| RN2277840 | Psych/Mental Health | Massachusetts | Primary | |
| 406565 | Psych/Mental Health | New York | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Edwin Japheth Agbonavbare is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Steward Medical Group Inc (2860688728) | 1580 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Edwin Japheth Agbonavbare
100 Corporate Pl Ste 303,
Peabody, Massachusetts |
| Zip: | 01960-3809 |
| Phone Number: | 781-640-1791 |
Patients can reach Edwin Japheth Agbonavbare at
100 Corporate Pl Ste 303, Peabody, Massachusetts or can
call to book an appointment on 781-640-1791.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.