Individual provider Active NPI

Kathleen Jean Caproni, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Stone Ridge, NY
National Provider Identifier
1245390103
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
012254 Issued in NY
Practice address
8 Sun Creek LN
Suite 1
Stone Ridge, NY 12484-5639
Phone
(914) 260-9818
Fax
(845) 256-0432
NPI assigned
Dec 11, 2006
Last updated
Aug 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 012254 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 (914) 260-9818

Other identifiers 1

IdentifierTypeStateIssuer
11235593OtherNYCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151106000741 NY Practitioner - Clinical Psychologist 6507176385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
State University of New York at Buffalo School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8 Sun Creek LN
Suite 1
Stone Ridge, NY 12484-5640
Phone (914) 260-9818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
012254NYMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen J. Caproni, PHD, Licensed Psychologist, PLLC CurrentSince Aug 16, 2015 Accepting new patients

Locations

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

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1245390103",
    "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": "914-260-9818",
            "fax_number": "845-256-0432"
        },
        {
            "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": "914-260-9818",
            "fax_number": "845-256-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPRONI",
        "first_name": "KATHLEEN",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "012254",
            "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

Verify at the official NPI Registry.