Individual provider Active NPI

Kimberley Dana Arcara, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Westborough, MA
National Provider Identifier
1609126689
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN250906 Issued in MA
Practice address
8 Lyman St Ste 200
Westborough, MA 01581-1487
Phone
(617) 431-6140
Fax
(207) 203-9586
NPI assigned
Sep 17, 2012
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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 RN250906 MA Primary

Addresses

Primary practice location

8 Lyman St Ste 200
Westborough, MA 01581-1487

Mailing address

8 Lyman St Ste 200
Westborough, MA 01581-1487
Phone (617) 431-6140

Other practice location 1

3970 Post Rd
Warwick, RI 02886-9235
Phone (617) 431-6140

Other practice location 2

264 Beacon St Fl 5
Boston, MA 02116-1236
Phone (617) 431-6140

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
I20121222000003 MA Practitioner - Nurse Practitioner 7113170101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Arcara Personalized Psychiatry PLLCGroup PAC ID 4981959301, 2 clinicians

Practice addresses (Care Compare)

8 Lyman St
Suite 200
Westborough, MA 01581-1487
Phone (617) 431-6140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN250906MAMDPsychiatric/Mental Health Nurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1609126689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LYMAN ST STE 200",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811487",
            "telephone_number": "617-431-6140",
            "fax_number": "207-203-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LYMAN ST STE 200",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811487",
            "telephone_number": "617-431-6140",
            "fax_number": "207-203-9586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3970 Post Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028869235",
            "country_code": "US",
            "telephone_number": "617-431-6140",
            "fax_number": "207-203-9586",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "264 Beacon St Fl 5",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021161236",
            "country_code": "US",
            "telephone_number": "617-431-6140",
            "fax_number": "617-663-6688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCARA",
        "first_name": "KIMBERLEY",
        "middle_name": "DANA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN250906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

Verify at the official NPI Registry.