Active NPI
Richard Peter Caro II
- Clinical Psychologist
- Santa Clarita, CA
National Provider Identifier
1205908878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 32504
- Practice address
- 21445 Centre Pointe Pkwy
Santa Clarita, CA 91350-2684 - Phone
- (661) 259-0033
- NPI assigned
- Nov 15, 2006
- Last updated
- May 14, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPCC 248 | CA | |
| Marriage & Family Therapist | 106H00000X | 50497 | CA | |
| Clinical Psychologist | 103TC0700X | 32504 | CA | Primary |
Addresses
Primary practice location
21445 Centre Pointe Pkwy
Santa Clarita, CA 91350-2684
Mailing address
2716 7TH St
Santa Monica, CA 90405-4414
Phone (310) 428-8488
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3872 | Other | CA | MENTAL HEALTH WORKER |
| MFT 50497 | Other | CA | LICENSE |
| LPCC 248 | Other | CA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC 248 | CA | MD | Professional Counselor |
| 32504 | CA | MD | Clinical Psychologist |
| 50497 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1205908878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2716 7TH ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904054414",
"telephone_number": "310-428-8488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21445 CENTRE POINTE PKWY",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913502684",
"telephone_number": "661-259-0033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARO",
"first_name": "RICHARD",
"middle_name": "PETER",
"name_prefix": "Mr.",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "LPCC 248",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "50497",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "32504",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH WORKER",
"identifier": "3872",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MFT 50497",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "LPCC 248",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.