Carlos Martinus Covarrubias, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2303809 Issued in MA

Practice address

769 Centre St Ste 329
Jamaica Plain, MA 02130-2557

Phone

(617) 286-2603

Fax

(617) 518-4304

NPI assigned

Aug 21, 2021

Last updated

Oct 28, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Three Trees Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Boston, MA
  • NPI 1518723030
  NPD Authorized official

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

{
    "created_epoch": "1629504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1215603907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 COURTNEY RD",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321044",
            "telephone_number": "617-515-6702",
            "fax_number": "617-518-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 CENTRE ST STE 329",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302557",
            "telephone_number": "617-286-2603",
            "fax_number": "617-518-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVARRUBIAS",
        "first_name": "CARLOS",
        "middle_name": "MARTINUS",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-21",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2303809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Cosola
• Jillian Janice Costa
• Suzanne Marguerite Costas, LICSW
• Rachel Costello
• Kelly Cotton
• David Covucci
• Jennifer Cox, MSW, LICSW
• Sarah Coe Cox
• Sarah P Coyne, CCLS
• Marissa Crasnow

• Psychiatric/Mental Health Nurse Practitioner in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.