Individual provider Active NPI

Caitlin Lavagnino, RN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1629421466
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F-402294-1 Issued in NY
Practice address
509 W 155TH St
3B
New York, NY 10032-7805
Phone
(925) 413-9881
NPI assigned
Jul 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 705541 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402294 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F-402294-1 NY Primary

Addresses

Primary practice location

509 W 155TH St
3B
New York, NY 10032-7805

Mailing address

509 W 155TH St
3B
New York, NY 10032-7805
Phone (925) 413-9881

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
I20171127002156 NY Practitioner - Nurse Practitioner 6002173259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Alternatives for Children IncGroup PAC ID 7012211022, 9 clinicians

Practice addresses (Care Compare)

37 W 26TH St
FL 6
New York, NY 10010-1058
Phone (646) 352-9068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
705541NYMDRegistered Nurse
402294NYMDPsychiatric/Mental Health Nurse Practitioner
F-402294-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Nov 1, 2017 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Nov 1, 2017 Accepting new patients
New Alternatives for Children Inc. CurrentSince Jul 1, 2024 Accepting new patients

Locations

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

37 W 26th St
Fl 6
New York, NY 10010
Phone (212) 696-1550

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

Organizations & group practices 3

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": "1468713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1629421466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W 155TH ST",
            "address_2": "3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100327805",
            "telephone_number": "925-413-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W 155TH ST",
            "address_2": "3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100327805",
            "telephone_number": "925-413-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVAGNINO",
        "first_name": "CAITLIN",
        "credential": "RN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-17",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "705541",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402294",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F-402294-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.