Individual provider Active NPI

Caryn E Valencia, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • Commack, NY
National Provider Identifier
1437410867
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
40401502 Issued in NY
Practice address
646 Commack Rd
Commack, NY 11725-5426
Phone
(631) 806-5090
NPI assigned
Jun 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 492815-1 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 40401502 NY Primary

Addresses

Primary practice location

646 Commack Rd
Commack, NY 11725-5426

Mailing address

646 Commack Rd
Commack, NY 11725-5426
Phone (631) 553-9652

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141024001744 NY Practitioner - Nurse Practitioner 2365663895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

50 Park Ave
Babylon, NY 11702-1708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
492815-1NYMDPsychiatric/Mental Health Registered Nurse
40401502NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Lake Chiropractic P.C. CurrentSince Apr 1, 2024 Accepting new patients
Leslie Marino MD PLLC CurrentSince Apr 1, 2024 Accepting new patients
Long Island Center for Recovery Inc PastSince Dec 1, 2020 Accepting new patients
New York Neuromodulation Medical PLLC Past Accepting new patients

Locations

50 Park Ave
Babylon, NY 11702
Phone (631) 422-4234

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1437410867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 COMMACK RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255426",
            "telephone_number": "631-553-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 COMMACK RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255426",
            "telephone_number": "631-806-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "CARYN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "NPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-01",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "492815-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "40401502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.