Individual provider Active NPI

Jose R. Capiro, M.D.

  • Psychiatry Physician
  • Wilmington, DE
National Provider Identifier
1881630507
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C10003516 Issued in DE
Practice address
500 West 10TH Street
Connections Community Support Programs, Inc.
Wilmington, DE 19801
Phone
(302) 644-3777
Fax
(302) 644-3535
NPI assigned
Jun 21, 2006
Last updated
May 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C10003516 DE Primary

Addresses

Primary practice location

500 West 10TH Street
Connections Community Support Programs, Inc.
Wilmington, DE 19801

Mailing address

500 West 10TH Street
Connections Community Sipport Programs, Inc.
Wilmington, DE 19801
Phone (302) 644-3777

Other identifiers 1

IdentifierTypeStateIssuer
0000226301MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C10003516DEMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Behavioral Delaware, LLC CurrentSince Nov 6, 2018 Accepting new patients
State of Delaware Past Accepting new patients
State of Delaware Past Accepting new patients
Fellowship Health Resources, Inc PastSince Nov 26, 2001 Accepting new patients

Locations

21655 Biden Ave
Georgetown, DE 19947
Phone (302) 207-9176

Organizations & group practices 4

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1881630507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WEST 10TH STREET",
            "address_2": "CONNECTIONS COMMUNITY SIPPORT PROGRAMS, INC.",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19801",
            "telephone_number": "302-644-3777",
            "fax_number": "302-644-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WEST 10TH STREET",
            "address_2": "CONNECTIONS COMMUNITY SUPPORT PROGRAMS, INC.",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19801",
            "telephone_number": "302-644-3777",
            "fax_number": "302-644-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPIRO",
        "first_name": "JOSE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C10003516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000226301",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.