Individual provider Active NPI

Caitlin Maria Depaulo

  • Psychiatric/Mental Health Nurse Practitioner
  • Westfield, NJ
National Provider Identifier
1952044265
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01295100 Issued in NJ
Practice address
354 South Ave E
Westfield, NJ 07090-1788
Phone
(908) 233-8065
NPI assigned
Apr 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01295100 NJ Primary

Addresses

Primary practice location

354 South Ave E
Westfield, NJ 07090-1788

Mailing address

24 Hampton CT
Matawan, NJ 07747-6845
Phone (646) 385-5863

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26NJ01295100NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Psychiatric Wellness Center CurrentSince Aug 3, 2020 Accepting new patients

Locations

4 Paragon Way
Ste 350
Freehold, NJ 07728
Phone (212) 262-0741

590 Westfield Ave
Ste 4
Westfield, NJ 07090
Phone (908) 233-8065

Organizations & group practices 1

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.

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1952044265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HAMPTON CT",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077476845",
            "telephone_number": "646-385-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 SOUTH AVE E",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901788",
            "telephone_number": "908-233-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPAULO",
        "first_name": "CAITLIN",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2024-01-05",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01295100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.