Provider Demographics
NPI:1184445835
Name:CARUSO-CARE, NP IN PSYCHIATRY, P.C.
Entity type:Organization
Organization Name:CARUSO-CARE, NP IN PSYCHIATRY, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER & PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:S
Authorized Official - Last Name:CARUSO
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, MSN, APRN
Authorized Official - Phone:631-747-8121
Mailing Address - Street 1:28 BOX ST APT N219
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-5585
Mailing Address - Country:US
Mailing Address - Phone:631-747-8121
Mailing Address - Fax:
Practice Address - Street 1:28 BOX ST APT N219
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-5585
Practice Address - Country:US
Practice Address - Phone:929-683-3320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-24
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY744382OtherREGISTERED PROFESSIONAL NURSING (022)
NY7513132OtherDEPARTMENT OF STATE: DIVISION OF CORPORATIONS
NY2023059078OtherANCC PSYCH-MENTAL HEALTH CERTIFICATION (NURSE PRACTITIONER)
NY086771OtherLICENSED MASTER SOCIAL WORK (072)
NY1871841577OtherTYPE 1 NPI - INDIVIDUAL/RENDERING PROVIDER
NY405069OtherNURSE PRACTITIONER IN PSYCHIATRY (040)
NY084067OtherLICENSED CLINICAL SOCIAL WORK (073)
NY143712OtherDOMESTIC PROFESSIONAL SERVICE CORPORATION (PSC)
NY2019082532OtherANCC PSYCH-MENTAL HEALTH CERTIFICATION (REGISTERED NURSE)