Marvel Larose
NPI 1407209620ActiveIndividual· Foster Care Agency· Randolph, MA
Foster Care Agency with Supportive Behavioral Care of Ma LLC, practicing in Randolph, Massachusetts. Enrolled in Medicare as practitioner - nurse practitioner. Axsome Therapeutics, Inc. reported $120.43 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1407209620 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jul 22, 2016 |
| Last updated in NPPES | Dec 5, 2025 |
| Certified by provider | Dec 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Foster Care Agency Primary | 253J00000X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | RN2292446 | 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 - Nurse Practitioner (MA) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Supportive Behavioral Care of Ma LLCBoston, MA · 99 clinicians
Industry payments (Open Payments)
- 2025$120.43 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Axsome Therapeutics, Inc. | $120.43 | 1 |
What the 2025 payments were for
- Food and Beverage$120.43 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Foster Care Agency providers in Randolph
- 1841142205
- 1922469907