Provider Demographics
NPI:1659454346
Name:CAPRIOTTI, RICHARD M
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:M
Last Name:CAPRIOTTI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 ARLINGTON ST
Mailing Address - Street 2:STE 1
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-3502
Mailing Address - Country:US
Mailing Address - Phone:941-917-6101
Mailing Address - Fax:
Practice Address - Street 1:1801 ARLINGTON ST
Practice Address - Street 2:SUITE 1
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3502
Practice Address - Country:US
Practice Address - Phone:941-917-6101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0004367103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL73830OtherBCBS
FL614293OtherAMERIHEALTH
FL9610918OtherGHI
FL73830AMedicare PIN