Matthew Anthony Capezzuto, LISW

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7071 Issued in OH

Practice address

22540 Lorain Rd
Fairview Park, OH 44126-2212

Phone

(440) 734-4037

Fax

(440) 734-4710

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allied Behavioral Health Services, IncorporatedGroup PAC ID 5092713529, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Allied Behavioral Health Services, Incorporated

  • Psychologist
  • Fairview Park, OH
  • NPI 1902984248
  Medicare reassignment Care Compare group Authorized official
• Allied Behavioral Health Services, Incorporated

  • Community/Behavioral Health Agency
  • Fairview Park, OH
  • NPI 1942637491
  NPD Authorized official
• Advanced Counseling Solutions LLC

  • Counselor
  • Austintown, OH
  • NPI 1699098418
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492214400000",
    "number": "1609972017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22540 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262212",
            "telephone_number": "440-734-4037",
            "fax_number": "440-734-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22540 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262212",
            "telephone_number": "440-734-4037",
            "fax_number": "440-734-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPEZZUTO",
        "first_name": "MATTHEW",
        "middle_name": "ANTHONY",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2017-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I7623",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "7071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER REPORTING NUMBER",
            "identifier": "2594518",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Brockett, LPC
• Laura Kathleen Broughton, MS, CCC-SLP
• Sheryl Lea Buckley, M.D.
• Kelly Calta, PHARMD., CGP
• Canvas Therapy LLC
• Limary Caraballo
• Louis P Caravella, MD
• Cardiovascular Imaging Associates, LLC
• Cardiovascular Medicine of Cleveland, LLC
• Catherine a Vlastaris Underman MD Inc

• Clinical Psychologist in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.