Carson Byrne, MA
NPI 1366960700ActiveIndividual· Psychologist· Waltham, MA
Psychologist (MA) with Colony Care Inc, practicing in Waltham, Massachusetts. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1366960700 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA |
| Sole proprietor | Yes |
| NPI issued | Sep 6, 2017 |
| Last updated in NPPES | Jun 20, 2023 |
| Certified by provider | Jun 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PSY5000216 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MA) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Colony Care IncWellesley, MA · 27 clinicians
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