Individual provider Active NPI

Devon Peterson Carroll, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cambridge, MA
National Provider Identifier
1720368699
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2271345 Issued in MA
Practice address
1 Arnold Cir Ste 7
Cambridge, MA 02139-2250
Phone
(617) 397-4737
Fax
(617) 362-5424
NPI assigned
Aug 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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 RN2271345 MA Primary

Addresses

Primary practice location

1 Arnold Cir Ste 7
Cambridge, MA 02139-2250

Mailing address

1 Arnold Cir Ste 7
Cambridge, MA 02139-2250
Phone (617) 397-4737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 30, 2026 through Apr 30, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN2271345MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Psychiatric Services PLLC CurrentSince Oct 8, 2023 Accepting new patients

Locations

1 Arnold Cir
Ste 7
Cambridge, MA 02139
Phone (617) 397-4737

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1720368699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ARNOLD CIR STE 7",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021392250",
            "telephone_number": "617-397-4737",
            "fax_number": "617-362-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ARNOLD CIR STE 7",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021392250",
            "telephone_number": "617-397-4737",
            "fax_number": "617-362-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "DEVON",
        "middle_name": "PETERSON",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2271345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.