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NPI Code Detail

MEDICARE: CARUSO-CARE, NP IN PSYCHIATRY, P.C.

MEDICARE: CARUSO-CARE, NP IN PSYCHIATRY, P.C.
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
1104100000XSocial Worker
2163WP0808XPsychiatric/Mental Health Registered Nurse
31041C0700XClinical Social Worker
4163W00000XRegistered Nurse
5363LP0808XPsychiatric/Mental Health Nurse Practitioner

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1143712OTHERNYDOMESTIC PROFESSIONAL SERVICE CORPORATION (PSC)
27513132OTHERNYDEPARTMENT OF STATE: DIVISION OF CORPORATIONS
31871841577OTHERNYTYPE 1 NPI - INDIVIDUAL/RENDERING PROVIDER
42019082532OTHERNYANCC PSYCH-MENTAL HEALTH CERTIFICATION (REGISTERED NURSE)
5405069OTHERNYNURSE PRACTITIONER IN PSYCHIATRY (040)
6744382OTHERNYREGISTERED PROFESSIONAL NURSING (022)
7084067OTHERNYLICENSED CLINICAL SOCIAL WORK (073)
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9086771OTHERNYLICENSED MASTER SOCIAL WORK (072)
102023059078OTHERNYANCC PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER (PMHNP-BC)

General Provider Information

NPI Number : 1184445835
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARUSO-CARE, NP IN PSYCHIATRY, P.C.
Provider Business Mailing Address
First Line : 28 BOX ST APT N219
Second Line :
City : BROOKLYN
State : NY
Zip : 11222-5585
Country : US
Telephone Number : 631-747-8121
Fax Number : 866-275-8660
Provider Business Practice Location Address
First Line : 28 BOX ST APT N219
Second Line : S FL 2/BUSINESS STE
City : BROOKLYN
State : NY
Zip : 11222-5585
Country : US
Telephone Number : 929-683-3320
Fax Number : 866-275-8660
Authorized Official
Title or Position : OWNER & CEO/PROVIDER
Name : MR. DEREK S. CARUSO
Credential : MSW, MSN, PMHNP-BC
Telephone Number : 631-747-8121
Provider Enumeration Date : 10/24/2024
Last Update Date : 02/23/2026

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