Organization Active NPI

Caruso-Care, NP in Psychiatry, P.C.

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1184445835
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CARUSO-CARE, NP IN PSYCHIATRY, P.C.
Practice address
28 Box St Apt N219
Brooklyn, NY 11222-5585
Phone
(929) 683-3320
Fax
(866) 275-8660
NPI assigned
Oct 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Mr. Derek S. Caruso, MSW, MSN, PMHNP-BCNPI 1871841577
Title
Owner/Ceo/Cno/Provider
Phone
(929) 683-3320

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0808X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

28 Box St Apt N219
Brooklyn, NY 11222-5585

Mailing address

28 Box St Apt N219
Brooklyn, NY 11222-5585
Phone (631) 747-8121

Other practice location 1

16 Williams Blvd Apt 1D
Lake Grove, NY 11755-2413
Phone (929) 683-3320

Other identifiers 10

IdentifierTypeStateIssuer
143712OtherNYDOMESTIC PROFESSIONAL SERVICE CORPORATION (PSC)
7513132OtherNYDEPARTMENT OF STATE: DIVISION OF CORPORATIONS
1871841577OtherNYTYPE 1 NPI - INDIVIDUAL/RENDERING PROVIDER
2019082532OtherNYANCC PSYCH-MENTAL HEALTH CERTIFICATION (REGISTERED NURSE)
405069OtherNYNURSE PRACTITIONER IN PSYCHIATRY (040)
744382OtherNYREGISTERED PROFESSIONAL NURSING (022)
084067OtherNYLICENSED CLINICAL SOCIAL WORK (073)
08208500MedicaidNY
086771OtherNYLICENSED MASTER SOCIAL WORK (072)
2023059078OtherNYANCC PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER (PMHNP-BC)

Other names 1

  • Derek S. Caruso (Legal Personal Name/Owner of Organization) Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://ehr.valant.io/io Health Information Exchange (HIE) Valant Medical, PA
CONNECT URL https://headway.co/providers/derek-s-caruso?utm_source=pem&utm_medium=direct_link&utm_campaign=65861 Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250312003453 NY Part B Supplier - Clinic/Group Practice 2264953702 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Lake Grove, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1184445835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BOX ST APT N219",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225585",
            "telephone_number": "631-747-8121",
            "fax_number": "866-275-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 BOX ST APT N219",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225585",
            "telephone_number": "929-683-3320",
            "fax_number": "866-275-8660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Williams Blvd Apt 1D",
            "address_purpose": "LOCATION",
            "city": "Lake Grove",
            "state": "NY",
            "postal_code": "117552413",
            "country_code": "US",
            "telephone_number": "929-683-3320",
            "fax_number": "866-275-8660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARUSO-CARE, NP IN PSYCHIATRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/CEO/CNO/PROVIDER",
        "authorized_official_telephone_number": "929-683-3320",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, MSN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOMESTIC PROFESSIONAL SERVICE CORPORATION (PSC)",
            "identifier": "143712",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF STATE: DIVISION OF CORPORATIONS",
            "identifier": "7513132",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI - INDIVIDUAL/RENDERING PROVIDER",
            "identifier": "1871841577",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC PSYCH-MENTAL HEALTH CERTIFICATION (REGISTERED NURSE)",
            "identifier": "2019082532",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER IN PSYCHIATRY (040)",
            "identifier": "405069",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PROFESSIONAL NURSING (022)",
            "identifier": "744382",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORK (073)",
            "identifier": "084067",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08208500",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MASTER SOCIAL WORK (072)",
            "identifier": "086771",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER (PMHNP-BC)",
            "identifier": "2023059078",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://ehr.valant.io/io",
            "affiliation": "Y",
            "endpointDescription": "HIE",
            "affiliationName": "Valant Medical, PA",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "600 Stewart St # 505",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981011230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://headway.co/providers/derek-s-caruso?utm_source=pem&utm_medium=direct_link&utm_campaign=65861",
            "affiliation": "N",
            "endpointDescription": "Direct Contact/HIE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "205 Hudson St Fl 9205",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100131803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Derek S. Caruso (Legal Personal Name/Owner of Organization)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.