Individual provider Active NPI

Caprice Warchol, PSY.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1467773226
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
020942 Issued in NY
Practice address
4260 Broadway
New York, NY 10033
Phone
(917) 714-5778
NPI assigned
Jun 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3663 CT
Psychologist 103T00000X 020942 NY Primary

Addresses

Primary practice location

4260 Broadway
New York, NY 10033

Mailing address

2214 Frederick Douglass Blvd Ste 276
New York, NY 10026-1123
Phone (917) 714-5778

Other practice location 1

7 Riversville Rd Ste 2A
Greenwich, CT 06831-3684
Phone (203) 274-8932 ext. 102

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3663CTMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Authenticity Nyc Psychology PLLC CurrentSince Dec 6, 2022 Accepting new patients
Discovery Practice Management, Inc CurrentSince May 14, 2023 Accepting new patients

Locations

7 Riversville Rd
Ste 2A
Greenwich, CT 06831
Phone 2032748932 ext. 102

4260 Broadway
New York, NY 10033
Phone (212) 923-8451

2214 Frederick Douglass Blvd
New York, NY 10026

Organizations & group practices 2

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": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1467773226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 FREDERICK DOUGLASS BLVD STE 276",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100261123",
            "telephone_number": "917-714-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4260 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10033",
            "telephone_number": "917-714-5778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Riversville Rd Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Greenwich",
            "state": "CT",
            "postal_code": "068313684",
            "country_code": "US",
            "telephone_number": "203-274-8932 x102",
            "fax_number": "203-528-0608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARCHOL",
        "first_name": "CAPRICE",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "3663",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "020942",
            "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 Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.