Carol Emerson, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2259482 Issued in MA

Practice address

80 Lindall St
Danvers, MA 01923-2135

Phone

(978) 406-4419

NPI assigned

Jun 12, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wilmington Family Counseling Service Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wilmington, MA
  • NPI 1922043447
  Medicare reassignment NPD
• Ferncroft Behavioral Health

  • Adolescent and Children Mental Health Clinic/Center
  • Danvers, MA
  • NPI 1861075459
  NPD Authorized official

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1922412477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 LINDALL ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232135",
            "telephone_number": "978-406-4419",
            "fax_number": "978-406-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 LINDALL ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232135",
            "telephone_number": "978-406-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "CAROL",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2259482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geraldine Ann Elliott, LICSW
• Brian Ellis
• Christie Ann Ellis
• Alicia D Elnagger
• Emeritus Corporation
• Empire Vision Center Inc
• Kevin J Ennis, M.D.
• Tricia Enos
• Anna L. Enright, CNS
• Courtney Hope Eramo, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Danvers, MA
• Providers in Danvers, 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 May 13, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.