Organization Active NPI

Carroll Psychiatric Services PLLC

  • Child & Adolescent Psychiatry Physician
  • Cambridge, MA
National Provider Identifier
1396522249
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
CARROLL PSYCHIATRIC SERVICES PLLC
Practice address
1 Arnold Cir Ste 7
Cambridge, MA 02139-2250
Phone
(617) 397-4737
NPI assigned
Sep 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Miss Devon Carroll Carroll, APRN, RN
Title
Psychiatric Nurse Practitioner
Phone
(978) 273-9575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

1 Arnold Cir Ste 7
Cambridge, MA 02139-2250

Mailing address

81 Orchard St
Cambridge, MA 02140-1329
Phone (978) 273-9575

National Provider Directory

National Provider Directory

Locations

1 Arnold Cir
Ste 7
Cambridge, MA 02139
Phone (617) 397-4737

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1396522249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 ORCHARD ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401329",
            "telephone_number": "978-273-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ARNOLD CIR STE 7",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021392250",
            "telephone_number": "617-397-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL PSYCHIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "DEVON",
        "authorized_official_middle_name": "CARROLL",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "978-273-9575",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "APRN, RN"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.