Active NPI
Derek S. Caruso, MSW, MSN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1871841577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F405069
- Practice address
- 28 Box St Apt N219
Brooklyn, NY 11222-5585 - Phone
- (929) 683-3320
- Fax
- (866) 275-8660
- NPI assigned
- Aug 28, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 744382 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F405069 | NY | Primary |
| Clinical Social Worker | 1041C0700X | 084067 | NY | |
| Social Worker | 104100000X | 086771 | NY | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 744382 | NY |
Addresses
Primary practice location
28 Box St Apt N219
Brooklyn, NY 11222-5585
Mailing address
28 Box St Apt N219
Brooklyn, NY 11222-5585
Phone (631) 747-8121
Other practice location 1
16 Williams Blvd Apt 1D
Lake Grove, NY 11755-2413
Phone (631) 747-8121
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13545756 | Other | NY | CAQH ID # |
| 03482717 | Medicaid | NY | |
| 1184445835 | Other | NY | TYPE 2 NPI - ORGANIZATION |
| 10000022616 | Other | NY | CAQH GROUP ID |
Electronic endpoints 5
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | |
| FHIR URL | https://ehr.valant.io/io | Health Information Exchange (HIE) | |
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ | Health Information Exchange (HIE) | |
| Other URL | OAuth2 | Health Information Exchange (HIE) | |
| CONNECT URL | FHIR | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
28 Box St
Apt N219
Brooklyn, NY 11222-5585
Phone (929) 683-3320
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 086771 | NY | MD | Social Worker |
| 744382 | NY | MD | Psychiatric/Mental Health Registered Nurse |
| F405069 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Caruso-Care, NP in Psychiatry, P.C. | Social Worker | Current | Accepting new patients |
| Priyadarshan Bajpayi, M.D. PC | Past | Accepting new patients |
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn, NY
- NPI 1184445835
Social Worker
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
NY
-
dba Evolve Psychiatry
- Psychiatry Physician
- Massapequa, NY
- NPI 1629534474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1871841577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 BOX ST APT N219",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112225585",
"telephone_number": "631-747-8121",
"fax_number": "866-275-8660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 BOX ST APT N219",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112225585",
"telephone_number": "929-683-3320",
"fax_number": "866-275-8660"
}
],
"practiceLocations": [
{
"address_1": "16 Williams Blvd Apt 1D",
"address_purpose": "LOCATION",
"city": "Lake Grove",
"state": "NY",
"postal_code": "117552413",
"country_code": "US",
"telephone_number": "631-747-8121",
"fax_number": "866-275-8660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARUSO",
"first_name": "DEREK",
"middle_name": "S.",
"name_prefix": "Mr.",
"credential": "MSW, MSN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-28",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "744382",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F405069",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "084067",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "086771",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NY",
"license": "744382",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH ID #",
"identifier": "13545756",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03482717",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 2 NPI - ORGANIZATION",
"identifier": "1184445835",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH GROUP ID",
"identifier": "10000022616",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "506 6th St",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112153609",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://ehr.valant.io/io",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "600 Stewart St # 505",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981011230",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "506 6th St",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112153609",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "OAuth2",
"affiliation": "N",
"endpointDescription": "FHIR/HIE - OAuth uri extension",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "2550 S Clark St",
"city": "Arlington",
"state": "VA",
"country_code": "US",
"postal_code": "222023962",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "FHIR",
"affiliation": "N",
"endpointDescription": "Direct Contact/HIE",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "205 Hudson St Fl 9",
"city": "Canal Street",
"state": "NY",
"country_code": "US",
"postal_code": "100131810",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.