Healthcare Provider Details

I. General information

NPI: 1912084682
Provider Name (Legal Business Name): FRANCIS S. CARUSO ED.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 EATON CT
WELLESLEY HILLS MA
02481-7600
US

IV. Provider business mailing address

13 EATON CT
WELLESLEY HILLS MA
02481-7600
US

V. Phone/Fax

Practice location:
  • Phone: 781-239-0909
  • Fax: 508-497-0991
Mailing address:
  • Phone: 781-239-0909
  • Fax: 508-497-0991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number6170
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number6170
License Number StateMA
# 4
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6170
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: