Flavio Casoy, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

269007 Issued in NY

Practice address

928 Broadway
Suite 1100
New York, NY 10010-6008

Phone

(646) 504-9104

Fax

(646) 219-8593

NPI assigned

Nov 11, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: flavio.casoy.1@24110.direct.athenahealth.com
• Direct secure messaging: flavio.casoy.1@16520.direct.athenahealth.com

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.

• Bay Psychiatric Associates

  • Psychiatry Physician
  • Berkeley, CA
  • NPI 1427163229
  NPD (past)

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1992032908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 BEDFORD AVE",
            "address_2": "PMB #801",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112115525",
            "telephone_number": "646-504-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 BROADWAY",
            "address_2": "SUITE 1100",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106008",
            "telephone_number": "646-504-9104",
            "fax_number": "646-219-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASOY",
        "first_name": "FLAVIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-11",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A113066",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "269007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandra Caso Illanes, LMHC
• Gabriella Caso
• Jacqueline Noelle Caso, LMSW
• Taymy Josefa Caso, PHD
• Shannon Nicole Cason, MD
• Maria Caspani, MHC-LP
• Caspare Physical Therapy Wellness, P.C.
• Kimberly Caspare, DPT, ATC, CSCS, CES
• Daniel Patrick Casper, RPA-C
• Holly Casper, MSED

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.