Individual provider Active NPI

Lucia Maria Caputi, LCSW

  • Psychologist
  • Massapequa, NY
National Provider Identifier
1932265154
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
R041090-1 Issued in NY
Practice address
248 N Wisconsin Ave
Massapequa, NY 11758-1739
Phone
(516) 454-7517
Fax
(516) 454-7517
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X R041090-1 NY Primary

Addresses

Primary practice location

248 N Wisconsin Ave
Massapequa, NY 11758-1739

Mailing address

248 N Wisconsin Ave
Massapequa, NY 11758-1739
Phone (516) 454-7517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R041090-1NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1932265154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 N WISCONSIN AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117581739",
            "telephone_number": "516-454-7517",
            "fax_number": "516-454-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 N WISCONSIN AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117581739",
            "telephone_number": "516-454-7517",
            "fax_number": "516-454-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPUTI",
        "first_name": "LUCIA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "R041090-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.