Individual provider Active NPI

Carole Anne Malloch, DNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lynn, MA
National Provider Identifier
1376328906
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2326260 Issued in MA
Practice address
269 Union St
Lynn, MA 01901-1314
Phone
(781) 581-3900
NPI assigned
Aug 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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 RN2326260 MA Primary

Addresses

Primary practice location

269 Union St
Lynn, MA 01901-1314

Mailing address

1340 Centre St Ste 209
Newton Centre, MA 02459-2453
Phone (617) 354-4450

Other practice location 1

1340 Centre St Ste 209
Newton Centre, MA 02459-2453
Phone (617) 354-4450

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
I20231109003646 MA Practitioner - Nurse Practitioner 8527415660 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Behavioral Care of Connecticut PCGroup PAC ID 9436502879, 132 clinicians
Lynn Community Health, Inc.Group PAC ID 0042217507, 95 clinicians

Practice addresses (Care Compare)

Andover, MA 01810
Phone (978) 222-3121

1340 Centre St
Suite 209
Newton, MA 02459-2453
Phone (617) 354-4450

20 Central Ave
Lynn, MA 01901-1314

269 Union St
Lynn, MA 01901-1314
Phone (959) 216-7305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Dec 1, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Dec 1, 2025 Accepting new patients
Lynn Community Health, Inc. CurrentSince Oct 31, 2023 Accepting new patients
New England Psychiatry, PC Psychiatric/Mental Health CurrentSince May 1, 2024 Accepting new patients
Center for Wellness and Wellbeing LLC PastSince Apr 21, 2024 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. PastSince Oct 12, 2025 Accepting new patients

Locations

40 Shattuck Rd
Ste 250
Andover, MA 01810
Phone (603) 505-6847

100 Cambridge St
Boston, MA 02114
Phone (603) 600-8513

100 Merrimack St
#3013C
Lowell, MA 01852
Phone (603) 600-8513

280 Union St
Ste 202
Lynn, MA 01901
Phone (781) 780-4555

269 Union St
Lynn, MA 01901
Phone (781) 581-9832

1340 Centre St
Ste 209
Newton Centre, MA 02459
Phone (440) 877-6928

69 Technology Way
Ste 4E9
Nashua, NH 03060
Phone (603) 600-8513

Organizations & group practices 6

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": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1376328906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 CENTRE ST STE 209",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024592453",
            "telephone_number": "617-354-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 UNION ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011314",
            "telephone_number": "781-581-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 Centre St Ste 209",
            "address_purpose": "LOCATION",
            "city": "Newton Centre",
            "state": "MA",
            "postal_code": "024592453",
            "country_code": "US",
            "telephone_number": "617-354-4450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLOCH",
        "first_name": "CAROLE",
        "middle_name": "ANNE",
        "credential": "DNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2326260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

Verify at the official NPI Registry.