Active NPI
Carla Merlos Chindongo, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN2285099
- Practice address
- 780 Albany St
Boston, MA 02118-2524 - Phone
- (857) 654-1850
- NPI assigned
- Mar 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2285099 | MA | Primary |
Addresses
Primary practice location
780 Albany St
Boston, MA 02118-2524
Mailing address
960 Massachusetts Ave
FL 2
Boston, MA 02118
Phone (857) 919-2945
Other practice location 1
1 Boston Medical Ctr Pl
Boston, MA 02118-2908
Phone (617) 414-5245
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110188160A | Medicaid | MA |
Other names 1
- Carla Merlos
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 665-1000
81 Highland Ave
Salem, MA 01970-2714
Phone (978) 354-2551
Hospital & facility affiliations
- Cambridge Health Alliance
- North Shore Medical Center -
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2285099 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Healthcare LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Mass General Brigham Medical Group Northern Massachusetts Inc | Current | Accepting new patients | |
| Solara Mind Behavioral Health, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| North Shore Medical Center, Inc. | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients |
Locations
1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185
1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950
350 Main St
Ste 31
Malden, MA 02148
Phone (781) 397-6583
578 Main St
Ste 202B
Malden, MA 02148
Phone (617) 299-0928
81 Memorial Pkwy
Ofc A
Randolph, MA 02368
Phone (781) 926-3339
81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009
Interoperability endpoints
- cmerloschindongo119110@direct.challiance.masshiway.net
- merloschindongo.carla.nsmc@direct.partners.masshiway.net
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
-
- Emergency Medicine Physician
- Salem, MA
- NPI 1588606123
-
- Psychiatric/Mental Health Nurse Practitioner
- Malden, MA
- NPI 1629944335
-
- Psychiatric/Mental Health Nurse Practitioner
- Randolph, MA
- NPI 1659097483
-
- Psychiatric Hospital Unit
- Cambridge, MA
- NPI 1447348313
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1932313228
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1760809685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MASSACHUSETTS AVE",
"address_2": "FL 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "857-919-2945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 ALBANY ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182524",
"telephone_number": "857-654-1850"
}
],
"practiceLocations": [
{
"address_1": "1 Boston Medical Ctr Pl",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182908",
"country_code": "US",
"telephone_number": "617-414-5245",
"fax_number": "617-414-5520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERLOS CHINDONGO",
"first_name": "CARLA",
"name_prefix": "Ms.",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-28",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN2285099",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110188160A",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARLA",
"last_name": "MERLOS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.