Healthcare Provider Details

I. General information

NPI: 1457287039
Provider Name (Legal Business Name): EMMA CARNEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 CUMMINGS CTR STE 3570
BEVERLY MA
01915-6535
US

IV. Provider business mailing address

5 CREEK ST APT 2
BEVERLY MA
01915-4592
US

V. Phone/Fax

Practice location:
  • Phone: 781-593-2727
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: