Carolyne Mburu-Gerena, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN271334 Issued in MA

Practice address

125 Cambridgepark Dr Ste 301
Cambridge, MA 02140-2392

Phone

(781) 430-4309

Fax

(781) 205-1614

NPI assigned

Nov 4, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, AZ2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Mind Garden Mental Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Cambridge, MA
  • NPI 1346969540
  Medicare reassignment Authorized official
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  AZ, Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1376085548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 SHREWSBURY ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041689",
            "telephone_number": "508-753-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CAMBRIDGEPARK DR STE 301",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021402392",
            "telephone_number": "781-430-4309",
            "fax_number": "781-205-1614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6991 E Camelback Rd Ste D300",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852512492",
            "country_code": "US",
            "telephone_number": "781-430-4309",
            "fax_number": "781-205-1614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MBURU-GERENA",
        "first_name": "CAROLYNE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "271334",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN271334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Anne Mayers, ATC
• Margaret Rose Maynard, PA-C
• Ananya Mayukha, M.S.
• Harvey E Mazer, M.D.
• Haley Mazzarella, PSY.D.
• Shannon Rose McAdam, PA-C
• Noreen McAlinden, R.N.
• Sarah McArdle, LICSW
• Jenna Copley McAuliffe, RD
• Caroline McCabe

• Psychiatric/Mental Health Nurse Practitioner in Cambridge, MA
• Providers in Cambridge, 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 Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.