Douglas W Caruana, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20040106A Issued in IN

Practice address

9111 Broadway
Suite Q
Merrillville, IN 46410

Phone

(219) 736-0003

Fax

(219) 756-2315

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Home-Based Behavioral Solutions LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Merrillville, IN
  • NPI 1215278718
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053400564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9111 BROADWAY",
            "address_2": "SUITE Q",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "219-736-0003",
            "fax_number": "219-756-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 BROADWAY",
            "address_2": "SUITE Q",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "219-736-0003",
            "fax_number": "219-756-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUANA",
        "first_name": "DOUGLAS",
        "middle_name": "W",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040106A",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000176448",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany T Carr, CMT
• Britney Carrillo, RBT
• Viridiana Carrillo
• Jayana Carter, RBT
• Rachelle Carter
• Kaitlyn Cason
• Anna Marie Castillo
• Ashley Castillo
• Christina Castillo
• Jessica Castillo

• Clinical Psychologist in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.