Steven Anthony Carroll, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2320516 Issued in MA

Practice address

41 Garrison Rd
Brookline, MA 02445-4445

Phone

(617) 277-8107

NPI assigned

Dec 30, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clear Minded Care, PLLC

  • Community/Behavioral Health Agency
  • Brookline, MA
  • NPI 1508463811
  NPD (past)

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1609415215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 ROGERS AVE APT 2",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442232",
            "telephone_number": "201-956-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 GARRISON RD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024454445",
            "telephone_number": "617-277-8107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 Garrison Rd",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024454445",
            "country_code": "US",
            "telephone_number": "617-277-8107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "STEVEN",
        "middle_name": "ANTHONY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2320516",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2320516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Howland Licsw PLLC
• Courtney Carpenter
• Jayson Christon Carr, M.D.
• Charlene Kelly Carroll, AU.D.
• Nina M Carroll, M.D.
• Carter James Carter
• Meredith J Carter, PH.D
• Samantha Carter, BSW
• Katrina Marie Carye, LMHC
• Casa Amana PLLC

• Psychiatric/Mental Health Nurse Practitioner in Brookline, MA
• Providers in Brookline, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.