Active NPI
John Christopher Capozuca, PHD
- Psychologist
- New York, NY
National Provider Identifier
1396800652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 010701
- Practice address
- 373 Bleecker St
Suite 1-C
New York, NY 10014-3212 - Phone
- (212) 243-4310
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 010701 | NY | Primary |
Addresses
Primary practice location
373 Bleecker St
Suite 1-C
New York, NY 10014-3212
Mailing address
373 Bleecker St
Suite 1-C
New York, NY 10014-3212
Phone (212) 243-4310
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150126000126 | NY | Practitioner - Clinical Psychologist | 2769625516 | Practice locations: New York, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010701 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396800652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "373 BLEECKER ST",
"address_2": "SUITE 1-C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100143212",
"telephone_number": "212-243-4310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "373 BLEECKER ST",
"address_2": "SUITE 1-C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100143212",
"telephone_number": "212-243-4310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPOZUCA",
"first_name": "JOHN",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "010701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.