MRS. MAYA DEVONNE CARROLL PMHNP-BC NPI 1699315473

NPI Information

  • NPI: 1699315473
  • Provider Name: MRS. MAYA DEVONNE CARROLL, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 150 VALPREDA RD
    SAN MARCOS, CA
    ZIP 92069
  • Phone: (760) 736-6780

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NPI Details

MRS. Maya Devonne Carroll, PMHNP-BC is a psychiatric/mental health nurse practitioner in San Marcos, CA. MRS. Maya Devonne Carroll, PMHNP-BC NPI is 1699315473. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

150 VALPREDA RD
SAN MARCOS, CA
ZIP 92069-973
Phone: (760) 736-6780

The NPI 1699315473 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/9/2020 and was last updated on 4/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health95013568CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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