Individual provider Active NPI

Kathleen Ann Carey, MS,RN,CS

  • Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
  • Arlington, MA
National Provider Identifier
1568680486
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X
License
1633837 Issued in MA
Practice address
691 Massachusetts Ave
Suite 6
Arlington, MA 02476-4905
Phone
(781) 641-1500
Fax
(617) 503-1060
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X 1633837 MA Primary

Addresses

Primary practice location

691 Massachusetts Ave
Suite 6
Arlington, MA 02476-4905

Mailing address

691 Massachusetts Ave
Suite 6
Arlington, MA 02476-4905
Phone (781) 641-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1633837MAMDChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568680486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 MASSACHUSETTS AVE",
            "address_2": "SUITE 6",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764905",
            "telephone_number": "781-641-1500",
            "fax_number": "617-503-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 MASSACHUSETTS AVE",
            "address_2": "SUITE 6",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764905",
            "telephone_number": "781-641-1500",
            "fax_number": "617-503-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAREY",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "MS,RN,CS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MA",
            "license": "1633837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.