CARRIE MICHELLE POTTER PH.D.
NPI 1740714807
Psychologist in Boston, MA

Active since April 16, 2017Opted out of Medicare · through Feb 21, 2027
15 PARKMAN STREET, WAC 812, BOSTON, MA 02114(978) 307-2010 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Oct 22, 2019, Oct 4, 2019, Jul 11, 2019 and 2 more (5 updates tracked since 2017).

About Carrie Michelle Potter Ph.d. NPPES

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

CARRIE MICHELLE POTTER PH.D. (NPI 1740714807) is an individual psychologist in Boston, Massachusetts, licensed in Massachusetts (10962) and active in the NPI registry since April 2017. She has opted out of Medicare through February 21, 2027, maintains 2 additional practice locations, and is a graduate of Temple University School Of Medicine (2017).

NPPES Registry Identity

NPI1740714807
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameCARRIE MICHELLE POTTERCredential: PH.D.
Location Address15 PARKMAN STREET, WAC 812Boston, MA 02114
Mailing Address15 Parkman Street, Wac 812Boston, MA 02114 · (978) 307-2010
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2017
Enumeration DateApril 16, 2017
Last NPPES UpdateOctober 22, 20195 updates tracked since enumeration
✔ NPI 1740714807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MA · 10962
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
15 PARKMAN STREET, Boston, MA 02114

Secondary Practice Locations 2

Location 11493 Cambridge StCambridge, MA 02139-1047 · Phone (617) 665-1183
Location 215 Parkman Street, WAC 812Boston, MA 02114 · Phone (978) 307-2010

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Carrie Michelle Potter Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 21, 2025 through February 21, 2027.

Opt-Out Effective DateFebruary 21, 2025
Opt-Out In Effect ThroughFebruary 21, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
15 PARKMAN STREET, WAC 3 ANESTHESIA PAIN MANAGEMENT
BOSTON, MA 02114
Nurse Practitioner
15 PARKMAN STREET, WAC 8 MGH NEUROLOGY ASSOCIATES
BOSTON, MA 02114
Internal Medicine
15 PARKMAN STREET, WAC605 INTERNAL MEDICINE ASSOCIATES TEAM 2
BOSTON, MA 02114
Surgery
15 PARKMAN STREET, CHURCHILL SURGICAL CLINIC
BOST, MA 02114
Psychologist
15 PARKMAN STREET, WAC 8 MGH PSYCHIATRY SERVICES
BOSTON, MA 02114
Internal Medicine
15 PARKMAN STREET, WAC 635 INTERNAL MEDICINE ASSOCIATES TEAM 3
BOSTON, MA 02114
Internal Medicine
15 PARKMAN STREET, WANG AMBULATORY CARE CENTER FLOOR 6
BOSTON, MA 02114
Psychologist
15 PARKMAN STREET, WANG AMBULATORY CARE CENTER 815
BOSTON, MA 02114

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 Carrie Potter's NPI number?

The NPI number for Carrie Potter is 1740714807. It was assigned to this individual provider in the NPPES registry on April 16, 2017.

Where is Carrie Potter located?

Carrie Potter practices at 15 Parkman Street Wac 812, Boston, MA 02114. The listed phone number is (978) 307-2010.

What is Carrie Potter's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Carrie Potter enrolled in Medicare?

No. Carrie Potter has opted out of Medicare through February 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Carrie Potter was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.