Individual provider Active NPI

Adam S Arsenault, PMH-NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Carlsbad, CA
National Provider Identifier
1174230163
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95022924 Issued in CA
Practice address
2659 State St Ste 100
Carlsbad, CA 92008-1627
Phone
(858) 387-4378
NPI assigned
Oct 31, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95022924 CA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2279787 MA

Addresses

Primary practice location

2659 State St Ste 100
Carlsbad, CA 92008-1627

Mailing address

4663 33Rd St Apt 7
San Diego, CA 92116-6303
Phone (978) 304-9050

Other practice location 1

700 Massachusetts Ave Fl 3
Cambridge, MA 02139-3345
Phone (888) 500-2067

Other practice location 2

112 N Central Ave Ste M43
Phoenix, AZ 85004-2309
Phone (888) 500-2067

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
I20260427001513 MA Practitioner - Nurse Practitioner 3779923586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

700 Massachusetts Ave
FL 3
Cambridge, MA 02139-3345

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95022924CAMDPsychiatric/Mental Health Nurse Practitioner
2279787MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nimbus Psychiatry PLLC Psychiatric/Mental Health Current Accepting new patients
Cartwheel Health Services PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: adam.arsenault.1@32853.direct.athenahealth.com

Organizations & group practices 2

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": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1174230163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4663 33RD ST APT 7",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921166303",
            "telephone_number": "978-304-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 STATE ST STE 100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081627",
            "telephone_number": "858-387-4378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Massachusetts Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021393345",
            "country_code": "US",
            "telephone_number": "888-500-2067",
            "fax_number": "617-649-8520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 N Central Ave Ste M43",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850042309",
            "country_code": "US",
            "telephone_number": "888-500-2067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARSENAULT",
        "first_name": "ADAM",
        "middle_name": "S",
        "credential": "PMH-NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95022924",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2279787",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.