NPIMap

Organization Active NPI

Carroll Psychpharmacology, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Plymouth, MA
National Provider Identifier
1487299863
Registry record updated Nov 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CARROLL PSYCHPHARMACOLOGY, LLC
Practice address
4 S Spooner St
Plymouth, MA 02360-4447
Phone
(617) 544-3571
Fax
(617) 206-3804
NPI assigned
Nov 9, 2019
Last updated
Nov 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2019

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

Authorized official

Name
Anne Opre Carroll, NP-CNPI 1598102816
Title
Owner
Phone
(617) 544-3671

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Primary Care Clinic/Center 261QP2300X NU

Addresses

Primary practice location

4 S Spooner St
Plymouth, MA 02360-4447

Mailing address

PO Box 4118
Plymouth, MA 02361-4118
Phone (508) 259-6691

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL anne@carrollpsychpharmacology.com Direct
Direct Messaging Address anne@carrollpsychpharmacology.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

4 S Spooner St
Plymouth, MA 02360
Phone (508) 617-0070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1573257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573257600000",
    "number": "1487299863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4118",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023614118",
            "telephone_number": "508-259-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 S SPOONER ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604447",
            "telephone_number": "617-544-3571",
            "fax_number": "617-206-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL PSYCHPHARMACOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-09",
        "last_updated": "2019-11-09",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "OPRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-544-3671",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "anne@carrollpsychpharmacology.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4 S Spooner St",
            "city": "Plymouth",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023604447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anne@carrollpsychpharmacology.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4 S Spooner St",
            "city": "Plymouth",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023604447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2019; 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.