Michael Caruso, ED. D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

22364 Issued in TX

Practice address

615 W Harwood Rd
Hurst, TX 76054-3106

Phone

(817) 722-5040

NPI assigned

May 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.caruso@ppoa.directbygreenway.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.

• Michael F Caruso Ed D Psychologist

  • Psychologist
  • Hurst, TX
  • NPI 1659914026
  Medicare reassignment NPD Authorized official
• Texas Pain Relief Group PLLC

  • Family Nurse Practitioner
  • Hurst, TX
  • NPI 1396128328
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1992926968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SCARLET CT",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760344107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W HARWOOD RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543106",
            "telephone_number": "817-722-5040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2720 Virginia Pkwy",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750714916",
            "country_code": "US",
            "telephone_number": "817-449-0022",
            "fax_number": "817-394-1409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3017 E Renner Rd",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750823574",
            "country_code": "US",
            "telephone_number": "817-449-0022",
            "fax_number": "817-394-1409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARUSO",
        "first_name": "MICHAEL",
        "credential": "ED. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "22364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "22364",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Http://drmikecarusopsychologist.theranest.com",
            "affiliation": "N",
            "endpointDescription": "Scheduling  billing records",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Records, billing",
            "address_1": "615 W Harwood Rd",
            "city": "Hurst",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760543106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drmikecarusopsychologist@gmail.com",
            "affiliation": "N",
            "endpointDescription": "primary office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "615 W Harwood Rd",
            "city": "Hurst",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760543106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Psychologist in Hurst, TX
• Providers in Hurst, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.