Organization Active NPI

Kathleen J. Caproni, PHD, Licensed Psychologist, PLLC

  • Psychologist
  • Stone Ridge, NY
National Provider Identifier
1083081434
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
012254-1 Issued in NY
Legal business name
KATHLEEN J. CAPRONI, PHD, LICENSED PSYCHOLOGIST, PLLC
Practice address
8 Sun Creek LN
Suite 1
Stone Ridge, NY 12484-5639
Phone
(845) 687-6341
Fax
(914) 687-6341
NPI assigned
Sep 1, 2015
Last updated
Sep 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Dr. Kathleen J Caproni, PHDNPI 1245390103
Title
Owner/Member
Phone
(914) 260-9818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 012254-1 NY Primary

Addresses

Primary practice location

8 Sun Creek LN
Suite 1
Stone Ridge, NY 12484-5639

Mailing address

8 Sun Creek LN
Suite 1
Stone Ridge, NY 12484-5639
Phone (845) 687-6341

Other identifiers 1

IdentifierTypeStateIssuer
11235593OtherNYCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151106000640 NY Part B Supplier - Clinic/Group Practice 2062722846 Receives reassigned benefits from 1 practitioner
Practice locations: Stone Ridge, NY

National Provider Directory

National Provider Directory

Locations

8 Sun Creek Ln
Ste 1
Stone Ridge, NY 12484
Phone (845) 687-6341

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1083081434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SUN CREEK LN",
            "address_2": "SUITE 1",
            "city": "STONE RIDGE",
            "state": "NY",
            "postal_code": "124845639",
            "telephone_number": "845-687-6341",
            "fax_number": "914-687-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SUN CREEK LN",
            "address_2": "SUITE 1",
            "city": "STONE RIDGE",
            "state": "NY",
            "postal_code": "124845639",
            "telephone_number": "845-687-6341",
            "fax_number": "914-687-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN J. CAPRONI, PHD, LICENSED PSYCHOLOGIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "CAPRONI",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "914-260-9818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "012254-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11235593",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Ridge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.