Active NPIIndividual providerSole proprietor

Ms. Wendy M Carlson, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Berkley, Massachusetts

NPI Number1891158564
Practice location
21 Shore RD, Berkley, MA 02779-2324
Fax
508-967-7304
Last updated
November 4, 2026

Wendy Marie Carlson is a Nurse Practitioner, Psych/Mental Health based in Berkley, MA. Wendy Marie Carlson practices in Berkley, MA and has the professional credentials of PMHNP-BC. The NPI Number for Wendy Marie Carlson is 1891158564 and holds a License No. RN230033 (MA). The current practice location address for Wendy Marie Carlson is 21 Shore RD, Berkley, MA 02779-2324 and can be reached out via phone at 774-501-1440 and via fax at 508-967-7304.

Provider Profile Details

NPI Number
1891158564
Provider Name
Wendy Marie Carlson
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
21 Shore RD, Berkley, MA 02779-2324
Phone Number
774-501-1440
Fax Number
508-967-7304
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Other Names
Ms. Wendy Marie Nichols, RN (Former Name)
Provider Enumeration Date
March 31, 2016
Last Update Date
November 4, 2026
Certification Date
November 4, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Shore RD
Berkley, MA 02779-2324
Zip
02779-2324
Phone Number
774-501-1440
Fax Number
508-967-7304
Berkley, MA 02779Get directions →

Provider Business Mailing Address Details

Address
21 Shore RD
Berkley, MA 02779-2324
City
Berkley
State
MA
Zip
02779-2324
Phone Number
774-501-1440
Fax Number
508-967-7304

License Information

License Number (1)
RN230033
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
License Number (2)
230033
License State (2)
MA
Taxonomy (2)
Registered Nurse · 163W00000X
License Number (3)
48702
License State (3)
RI
Taxonomy (3)
Registered Nurse · 163W00000X
License Number (4)
APRN01440
License State (4)
RI
Taxonomy (4)
Nurse Practitioner, Psych/Mental Health · 363LP0808X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Wendy M Carlson, PMHNP-BC?

The NPI number of Ms. Wendy M Carlson, PMHNP-BC is 1891158564. It was assigned on March 31, 2016 and is currently active in the NPPES registry.

What is the specialty of Ms. Wendy M Carlson, PMHNP-BC?

Ms. Wendy M Carlson, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN230033.

Where does Ms. Wendy M Carlson, PMHNP-BC practice?

The practice location is 21 Shore RD, Berkley, MA 02779-2324. The office can be reached at 774-501-1440 (phone) or 508-967-7304 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891158564 directly on the NPPES registry website.

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