CAROL GAVIN PMHNP
NPI 1003289729
Nurse Practitioner - Psychiatric/Mental Health in Maynard, MA

Active since November 03, 2015
TELEMYND, 141 PARKER ST SUITE 306, MAYNARD, MA 01754(866) 991-2163 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 31, 2024, Dec 30, 2021, Oct 16, 2020 (3 updates tracked since 2020).

About Carol Gavin Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROL GAVIN PMHNP (NPI 1003289729) is an individual psychiatric/mental health provider in Maynard, Massachusetts, licensed in Virginia (0024173036) and active in the NPI registry since November 2015. She maintains a secondary practice location in Leesburg.

NPPES Registry Identity

NPI1003289729
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCAROL GAVINCredential: PMHNP
Location AddressTELEMYND, 141 PARKER ST SUITE 306Maynard, MA 01754
Mailing AddressTelemynd, 141 Parker St Suite 306Maynard, MA 01754 · (866) 991-2163
Sole ProprietorNo
Enumeration DateNovember 3, 2015
Last NPPES UpdateDecember 31, 20243 updates tracked since enumeration
NPPES CertifiedDecember 26, 2024
NPI 1003289729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in VA · 0024173036
TELEMYND, Maynard, MA 01754

Secondary Practice Location 1

Location 119 Fort Evans Rd NE Ste CLeesburg, VA 20176-4487 · Phone (703) 737-2110 · Fax (703) 737-2111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carol Gavin's NPI number?

The NPI number for Carol Gavin is 1003289729. It was assigned to this individual provider in the NPPES registry on November 3, 2015.

Where is Carol Gavin located?

Carol Gavin practices at Telemynd 141 Parker St Suite 306, Maynard, MA 01754. The listed phone number is (866) 991-2163.

What is Carol Gavin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Carol Gavin was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.