Individual provider Active NPI

Paula Anne Cardaleen, PH.D

  • Mental Health Counselor
  • Brewster, MA
National Provider Identifier
1730435868
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC7279 Issued in MA
Practice address
456 Flax Pond Rd
Brewster, MA 02631-2133
Phone
(508) 896-9700
Fax
(508) 896-8706
NPI assigned
Jul 26, 2012
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMHC7279 MA Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

456 Flax Pond Rd
Brewster, MA 02631-2133

Mailing address

456 Flax Pond Rd
Brewster, MA 02631-2133
Phone (508) 896-9700

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250121001870 MA Practitioner - Mental Health Counselor 8224567243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Health Services LLCGroup PAC ID 6901866706, 470 clinicians

Practice addresses (Care Compare)

5 Namskaket Rd
Orleans, MA 02653-3202
Phone (774) 332-3791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LMHC7279MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Health Services, LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

5 Namskaket Rd
Orleans, MA 02653
Phone (774) 332-3791

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1730435868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 FLAX POND RD",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026312133",
            "telephone_number": "508-896-9700",
            "fax_number": "508-896-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 FLAX POND RD",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026312133",
            "telephone_number": "508-896-9700",
            "fax_number": "508-896-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDALEEN",
        "first_name": "PAULA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC7279",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, MA

Sources for this page

Verify at the official NPI Registry.