Provider Demographics
NPI:1336856640
Name:CARNEGIE PSYCHIATRY LLC
Entity Type:Organization
Organization Name:CARNEGIE PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DALEY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:857-345-9025
Mailing Address - Street 1:11 FAIRMOUNT AVE STE 109
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:MA
Mailing Address - Zip Code:02136-2777
Mailing Address - Country:US
Mailing Address - Phone:857-345-9025
Mailing Address - Fax:
Practice Address - Street 1:11 FAIRMOUNT AVE STE 109
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:MA
Practice Address - Zip Code:02136-2777
Practice Address - Country:US
Practice Address - Phone:857-345-9025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-04
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health