Individual provider Active NPI

Carole Jean Johnson, M.D.

  • Psychiatry Physician
  • Whitinsville, MA
National Provider Identifier
1023147345
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
156599 Issued in MA
Practice address
76 Church St
Whitinsville, MA 01588-1416
Phone
(508) 234-4181
NPI assigned
Mar 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 156599 MA Primary
Child & Adolescent Psychiatry Physician 2084P0804X 156599 MA

Addresses

Primary practice location

76 Church St
Whitinsville, MA 01588-1416

Mailing address

81 Moon Hill Rd
Northbridge, MA 01534-1330
Phone (508) 234-1731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
156599MAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
FCP, Inc CurrentSince Mar 29, 2017 Accepting new patients

Locations

360 Merrimack St
Ste 3
Lawrence, MA 01843
Phone (978) 687-1617

76 Church St
Ste 301
Whitinsville, MA 01588
Phone (508) 234-4181

29 E Mountain St
Ste 2
Worcester, MA 01606
Phone (508) 450-1606

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1023147345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 MOON HILL RD",
            "city": "NORTHBRIDGE",
            "state": "MA",
            "postal_code": "015341330",
            "telephone_number": "508-234-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 CHURCH ST",
            "city": "WHITINSVILLE",
            "state": "MA",
            "postal_code": "015881416",
            "telephone_number": "508-234-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAROLE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "156599",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "156599",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitinsville, MA

Sources for this page

Verify at the official NPI Registry.