Individual provider Active NPI

Nicholas Anthony Cavuoto, PSY.D.

  • Clinical Psychologist
  • Oakdale, NY
National Provider Identifier
1770670762
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
016887 Issued in NY
Practice address
1563 Montauk Hwy
Oakdale, NY 11769-1322
Phone
(631) 563-3162
Fax
(631) 563-3185
NPI assigned
Oct 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 016887 NY Primary

Addresses

Primary practice location

1563 Montauk Hwy
Oakdale, NY 11769-1322

Mailing address

25 Cayuga Ave
East Northport, NY 11731-1010
Phone (631) 239-6454

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070123000664 NY Practitioner - Clinical Psychologist 0042211732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1563 Montauk Hwy
Oakdale, NY 11769-1322
Phone (631) 563-3162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nicholas a. Cavuoto, Psy.D., P.C. Clinical CurrentSince Nov 15, 2007 Accepting new patients

Locations

1563 Montauk Hwy
Oakdale, NY 11769
Phone (631) 563-3162

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770670762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CAYUGA AVE",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117311010",
            "telephone_number": "631-239-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1563 MONTAUK HWY",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691322",
            "telephone_number": "631-563-3162",
            "fax_number": "631-563-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVUOTO",
        "first_name": "NICHOLAS",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, NY

Sources for this page

Verify at the official NPI Registry.