Provider Demographics
NPI:1417838889
Name:SPEARGOLD BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:SPEARGOLD BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:MS
Authorized Official - First Name:NGOZI
Authorized Official - Middle Name:O
Authorized Official - Last Name:ARUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-266-0324
Mailing Address - Street 1:117 WAYLAND ST
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02125-3028
Mailing Address - Country:US
Mailing Address - Phone:857-266-0324
Mailing Address - Fax:
Practice Address - Street 1:117 WAYLAND ST
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02125-3028
Practice Address - Country:US
Practice Address - Phone:857-266-0324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty