Individual provider Active NPI

Heather Elizabeth Quarles, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brookline, MA
National Provider Identifier
1174178776
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2270105 Issued in MA
Practice address
227 Babcock St
Brookline, MA 02446-6773
Phone
(978) 473-9883
NPI assigned
Aug 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2270105 MA Primary

Addresses

Primary practice location

227 Babcock St
Brookline, MA 02446-6773

Mailing address

66 Margin St
Peabody, MA 01960-1850
Phone (978) 473-9883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200219001812 MA Practitioner - Nurse Practitioner 1153758818 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Psychiatric Planners, IncGroup PAC ID 3476653387, 11 clinicians

Practice addresses (Care Compare)

300 S St
Chestnut Hill, MA 02467-3658
Phone (617) 469-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Psychiatric Planners, Inc CurrentSince Nov 27, 2023 Accepting new patients
Hri Hospital, Inc CurrentSince Dec 24, 2019 Accepting new patients
Bournewood Clinical Associates CurrentSince Nov 27, 2023 Accepting new patients

Locations

227 Babcock St
Brookline, MA 02446
Phone (617) 731-3200

300 South St
Chestnut Hill, MA 02467
Phone (617) 469-0300

Organizations & group practices 4

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": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1174178776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MARGIN ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601850",
            "telephone_number": "978-473-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 BABCOCK ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024466773",
            "telephone_number": "978-473-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUARLES",
        "first_name": "HEATHER",
        "middle_name": "ELIZABETH",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2270105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.