Organization Active NPI

Christian N. Caputo, LCSW, P.C.

  • Clinical Social Worker
  • Riverhead, NY
National Provider Identifier
1871611012
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RP 003027-1 Issued in NY
Legal business name
CHRISTIAN N. CAPUTO, LCSW, P.C.
Practice address
619 Roanoke Ave
Riverhead, NY 11901-2727
Phone
(631) 369-1718
NPI assigned
Mar 26, 2007
Last updated
Jan 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Mr. Christian Nicholas Caputo, LCSWNPI 1669425914
Title
Owner
Phone
(631) 369-1718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X RP 003027-1 NY Primary

Addresses

Primary practice location

619 Roanoke Ave
Riverhead, NY 11901-2727

Mailing address

166 Hampton Vista Dr
Manorville, NY 11949-2861
Phone (631) 369-1718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031215000783 NY Part B Supplier - Clinic/Group Practice 9436056884 Receives reassigned benefits from 1 practitioner
Practice locations: Port Jefferson, NY; Riverhead, NY

National Provider Directory

National Provider Directory

Locations

903 Main St
Port Jefferson, NY 11777
Phone (631) 374-9400

420 E Main St
Riverhead, NY 11901
Phone (631) 369-1718

619 Roanoke Ave
Riverhead, NY 11901
Phone (631) 208-9219

36 E 2nd St
Ste 202
Riverhead, NY 11901
Phone (631) 208-9219

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1871611012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 HAMPTON VISTA DR",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119492861",
            "telephone_number": "631-369-1718",
            "fax_number": "631-874-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012727",
            "telephone_number": "631-369-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN N. CAPUTO, LCSW, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "CAPUTO",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-369-1718",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RP 003027-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.