Individual provider Active NPI

Derek S. Caruso, MSW, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1871841577
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F405069 Issued in NY
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

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
13545756OtherNYCAQH ID #
03482717MedicaidNY
1184445835OtherNYTYPE 2 NPI - ORGANIZATION
10000022616OtherNYCAQH GROUP ID

Electronic endpoints 5

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250312003717 NY Practitioner - Nurse Practitioner 1850686098 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
086771NYMDSocial Worker
744382NYMDPsychiatric/Mental Health Registered Nurse
F405069NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients
Caruso-Care, NP in Psychiatry, P.C. Social Worker CurrentSince Jan 31, 2025 Accepting new patients
Priyadarshan Bajpayi, M.D. PC PastSince Feb 1, 2024 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.

NPI Registry JSON

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

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    "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

Verify at the official NPI Registry.