Andre Caruso, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY9923 Issued in FL

Practice address

2312 Wilton Dr
Wilton Manors, FL 33305-1249

Phone

(954) 849-2933

NPI assigned

Sep 25, 2017

Last updated

Sep 25, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 Psychologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Transformative Healthcare Solutions Gold Coast LLCGroup PAC ID 1557882768, 3 clinicians

Transformative Healthcare Solutions IncGroup PAC ID 8921337973, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Transformative Healthcare Solutions Gold Coast LLC

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1720814536
  Medicare reassignment Care Compare group NPD
• Transformative Healthcare Solutions Inc

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1477114031
  Medicare reassignment Care Compare group NPD
• Florida Post Acute Medical Services 1 PA

  • Hospitalist Physician
  • Tampa, FL
  • NPI 1255862439

  Clinical

  Medicare reassignment NPD
• Mental Health Center of Florida PA

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1679021414
  Medicare reassignment NPD
• Mtca Psychological Services P.a.

  • Clinical Psychologist
  • North Miami Beach, FL
  • NPI 1740552322
  Medicare reassignment NPD
• Transformative Healthcare Solutions Central LLC

  • Clinical Psychologist
  • Orange City, FL
  • NPI 1407680002
  Medicare reassignment NPD
• Transformative Healthcare Solutions East LLC

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1861227993
  Medicare reassignment NPD
• Transformative Healthcare Solutions North LLC

  • Clinical Psychologist
  • Jacksonville, FL
  • NPI 1205661337
  Medicare reassignment NPD
• Transformative Healthcare Solutions South LLC

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1265265193
  Medicare reassignment NPD
• Transformative Healthcare Solutions West LLC

  • Clinical Psychologist
  • Tampa, FL
  • NPI 1700610508
  Medicare reassignment NPD
• Dacpacs, Inc

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1144731902
  NPD Authorized official
• Pro Performance Physical Therapy LLC

  • Physical Therapist
  • Fort Lauderdale, FL
  • NPI 1215598529
  NPD (past)

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506297600000",
    "number": "1871002550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 SW 27TH TER",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 WILTON DR",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051249",
            "telephone_number": "954-849-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUSO",
        "first_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Cantrell
• Care Resource Community Health Centers, Inc
• Care Resource Community Health Centers, Inc (Care Resource Pharmacy Oakland Park)
• Care Resource Community Health Centers, Inc (Care Resource Community Health Centers, Inc-Mobile Unit 1)
• Karen Patricia Carroll, OPTICIAN
• Catholic Charities of the Archdiocese of Miami, Inc. (Wilton Manors Adult Day Care Center)
• Allison Cavanaugh
• Kenel Cazeau, D.C.
• Jason Ceavers, MD
• John Chaffin, ED.D.

• Clinical Psychologist in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.