MEDICARE: BRAINTREE PSYCHIATRY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1295698819
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRAINTREE PSYCHIATRY PLLC

Provider Business Mailing Address
First Line	:	11010 LAKE GROVE BLVD STE 100-106
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-7391
Country	:	US
Telephone Number	:	919-887-9317
Fax Number	:	919-289-1773

Provider Business Practice Location Address
First Line	:	11010 LAKE GROVE BLVD STE 100-106
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-7391
Country	:	US
Telephone Number	:	919-887-9317
Fax Number	:	919-289-1773

Authorized Official
Title or Position	:	OWNER
Name	:	CARLA SINCLAIR
Credential	:	PMHNP-BC
Telephone Number	:	919-887-9317

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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