Jonathan Caputo, MFT-LP
Individual provider Active NPI Marriage & Family Therapist · Cedarhurst, NY
NPI 1295516540 · NPPES record last updated Oct 12, 2023
Key facts
- NPI
- 1295516540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- P122356
- Practice address
- 123 Grove Ave Ste 216
Cedarhurst, NY 11516-2302 - Phone
- (516) 350-8564
- NPI assigned
- Oct 12, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Hofstra North Shore - Lij School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nassau Psychology, P.C.
Practice addresses (Care Compare)
123 Grove Ave
Suite 216
Cedarhurst, NY 11516-2302
Phone (516) 350-8564
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260310001340 | NY | Practitioner - Marriage and Family Therapist | 7810470739 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nassau Psychology, P.C. | Current |
Accepting new patients |
Locations
123 Grove Ave
Ste 216
Cedarhurst, NY 11516
Phone (516) 569-5200
165 N Village Ave
Ste 12
Rockville Ctr, NY 11570
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | P122356 | Yes |
Addresses
Primary practice location
123 Grove Ave Ste 216
Cedarhurst, NY 11516-2302
Mailing address
165 N Village Ave Ste 12
Rockville Centre, NY 11570-3701
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All providers in Cedarhurst, NY · Marriage & Family Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.