MS. WENDY MARIE CARLSON (NPI# 1891158564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891158564 |
| Entity Type | Individual |
| Full Name | MS. WENDY MARIE CARLSON |
| Other Name | MS. WENDY MARIE NICHOLS |
| Credential | PMHNP-BC |
| Practice Address |
21 Shore Rd Berkley MA 02779-2324 |
| Practice Telephone | 7745011440 |
| Practice Fax Number | 5089677304 |
| Mailing Telephone | 7745011440 |
| Mailing Fax Number | 5089677304 |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2020-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 48702 | RI | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 230033 | MA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN230033 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN01440 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | APRN | APRN01440 | 01 |
| MA | APRN | RN230033 | 01 |
| MA | CONTROLLED SUBSTANCE REGISTRATION | MC4398120 | 01 |
| MA | S400325789 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 316 Willett Ave, Riverside, RI 029152511 | 4012702468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073149027 | Wendy L Carlson | Social Worker | 2810 E Del Mar Blvd Ste 12, Pasadena, CA 91107-6709 | 2020-03-20 |
| Street Address |
21 SHORE RD |
| City | BERKLEY |
| State | MA |
| Zip Code | 02779-2324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174735674 | Holly Ann Wood | Licensed Practical Nurse | 41 East Plain St, Berkley, MA 02779 | 2007-05-04 |
| 1245442755 | Joyce Ann Souza | Registered Nurse | 43 East Plain St, Berkley, MA 02779 | 2007-05-04 |
| 1205378262 | Louisa T Ansell | Counselor | 1 Vary Way, Lindencroft, Berkley, MA 02779 | 2016-11-08 |
| 1801452800 | Michaila Medeiros | Social Worker | 11 Holly Ln, Berkley, MA 02779-1022 | 2019-05-15 |
| 1013997584 | Town of Berkley | Ambulance | 7 N Main St, Berkley, MA 02779-1312 | 2006-01-19 |
| 1609142363 | Debra Wolfer Stowell | Dental Hygienist | 3 Karens Way, Berkley, MA 02779-1414 | 2012-03-27 |
| 1134278153 | Lisa Marie Cassani-robitaille | Counselor | 4 Maple Dr, Berkley, MA 02779-1425 | 2007-01-09 |
| 1629374913 | Kate Marie Tripp | Social Worker | 64 Bryant St, Berkley, MA 02779-1502 | 2011-02-03 |
| 1700232642 | Rebecca Sylvia | Psychologist | 67 Bryant St, Berkley, MA 02779-1504 | 2016-05-10 |
| 1669831772 | Ruth Ann Germaine | Social Worker | 52 Green St, Berkley, MA 02779-1509 | 2016-02-17 |
| Find all providers in zip 02779 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639552 | Kelly Ann Hancock | Nurse Practitioner | 6 Margot Ln, East Bridgewater, MA 02333-1689 | 2020-11-03 |
| 1366042715 | Jacqueline Ann Owens | Nurse Practitioner | 32 Hammond Ave, Cohasset, MA 02025-1928 | 2020-10-27 |
| 1144829177 | Amiee N Caruso | Nurse Practitioner | 26 Queen St Ste 4, Worcester, MA 01610-2473 | 2020-10-21 |
| 1629676234 | Sandpiper Wellness, LLC | Nurse Practitioner | 345 Union St Unit 5, New Bedford, MA 02740-3679 | 2020-10-15 |
| 1912505777 | Samantha Deglaoui | Nurse Practitioner | 1 Clarks Hl Ste 302, Framingham, MA 01702-8172 | 2020-10-14 |
| 1699372235 | Square Behavioral Health, LLC | Nurse Practitioner | 733 Turnpike St # 162, North Andover, MA 01845-6137 | 2020-10-06 |
| 1184221046 | Abdonne Ngo Nyele Mbouadeu | Nurse Practitioner | 34 Tannery Rd, Sturbridge, MA 01518-1171 | 2020-10-05 |
| 1013524164 | Atlee Quarrier | Nurse Practitioner | 29 Birch Meadow Rd, Merrimac, MA 01860-1826 | 2020-09-23 |
| 1669086997 | Unique Psych Services LLC | Nurse Practitioner | 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 | 2020-09-03 |
| 1457961138 | Savina Nicole Setze | Nurse Practitioner | 15 N Beacon St Apt 914, Allston, MA 02134-1941 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.