Michael F Caruso Ed D Psychologist

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MICHAEL F CARUSO ED D PSYCHOLOGIST

Doing business as

Michael F Caruso ED D Psychologist PLLC

Practice address

615 W Harwood Rd
Hurst, TX 76054-3106

Phone

(817) 449-0022

Fax

(817) 394-1402

NPI assigned

Oct 17, 2019

Last updated

Oct 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Caruso, ED DNPI 1992926968

Title

Psychologist / Owner

Phone

(817) 846-0632

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michael F Caruso ED D Psychologist PLLC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Caruso, ED. D.

  • Psychologist
  • Hurst, TX
  • NPI 1992926968
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1659914026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SCARLET CT",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760344107",
            "telephone_number": "817-846-0632",
            "fax_number": "817-394-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W HARWOOD RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543106",
            "telephone_number": "817-449-0022",
            "fax_number": "817-394-1402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3017 E Renner Rd",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750823574",
            "country_code": "US",
            "telephone_number": "817-449-0022",
            "fax_number": "817-394-1409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2720 Virginia Pkwy",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750714916",
            "country_code": "US",
            "telephone_number": "817-449-0022",
            "fax_number": "817-394-1409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL F CARUSO ED D PSYCHOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PSYCHOLOGIST / OWNER",
        "authorized_official_telephone_number": "817-846-0632",
        "authorized_official_credential": "ED D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PSYCHOLOGIST  LICENSE NUMBER",
            "identifier": "22364",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drmikecarusopsychologist.theranest.com",
            "affiliation": "N",
            "endpointDescription": "Billing scheduling patient records",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Billing scheduling records",
            "address_1": "615 W Harwood Rd",
            "city": "Hurst",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760543106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Michael F Caruso ED D Psychologist PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychologist in Hurst, TX
• Providers in Hurst, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.