Healthcare Provider Details

I. General information

NPI: 1033086897
Provider Name (Legal Business Name): OTAS HEALTH SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 BRIDGEVIEW CIR STE 8 #5005
TYNGSBORO MA
01879-2000
US

IV. Provider business mailing address

2 BRIDGEVIEW CIR STE 8 #5005
TYNGSBORO MA
01879-2000
US

V. Phone/Fax

Practice location:
  • Phone: 978-226-8005
  • Fax: 862-276-3892
Mailing address:
  • Phone: 978-226-8005
  • Fax: 978-842-5592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: AFIA BOAHEMAAH
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 978-226-8005