Individual provider Active NPI

Olivia Carrick, M.D.

  • Psychiatry Physician
  • Chestnut Hill, MA
National Provider Identifier
1457513061
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
253060 Issued in MA
Practice address
300 South St
Chestnut Hill, MA 02467-3658
Phone
(617) 676-3318
NPI assigned
Jun 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 253060 MA Primary

Addresses

Primary practice location

300 South St
Chestnut Hill, MA 02467-3658

Mailing address

300 South St
Chestnut Hill, MA 02467-3658
Phone (617) 676-3318

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121119000338 MA Practitioner - Psychiatry 6608027750 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Psychiatry Group Practice Psychiatry CurrentSince Sep 12, 2014 Accepting new patients
Arbour Inc CurrentSince Sep 10, 2014 Accepting new patients
Arbour Inc Psychiatry CurrentSince Sep 10, 2014 Accepting new patients
First Psychiatric Planners, Inc CurrentSince Dec 1, 2014 Accepting new patients

Locations

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

300 South St
Chestnut Hill, MA 02467
Phone (617) 469-0300

49 Robinwood Ave
Jamaica Plain, MA 02130
Phone (617) 390-1204

Interoperability endpoints

  • Direct secure messaging: ocarrick31866@direct.bostonchildrens.org

Organizations & group practices 4

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1457513061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SOUTH ST",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673658",
            "telephone_number": "617-676-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SOUTH ST",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673658",
            "telephone_number": "617-676-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRICK",
        "first_name": "OLIVIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "253060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

Verify at the official NPI Registry.