# CARUSO-CARE, NP IN PSYCHIATRY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Derek S. Caruso (Legal Personal Name/Owner of Organization)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184445835
- **Authorized official:** MR. DEREK S. CARUSO MSW, MSN, PMHNP-BC (OWNER/CEO/CNO/PROVIDER)
- **Authorized official phone:** (929) 683-3320

## Contact information

- **Practice address:** 28 BOX ST APT N219, BROOKLYN, NY 11222-5585
- **Practice address phone:** (929) 683-3320
- **Practice address fax:** (866) 275-8660
- **Mailing address:** 28 BOX ST APT N219, BROOKLYN, NY 11222-5585
- **Mailing address phone:** (631) 747-8121
- **Mailing address fax:** (866) 275-8660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | — | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 163W00000X | Registered Nurse | — | — | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2024
- **Last updated:** 08/24/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 08208500 | — | NY |
| 01 | — | 084067 | LICENSED CLINICAL SOCIAL WORK (073) | NY |
| 01 | — | 086771 | LICENSED MASTER SOCIAL WORK (072) | NY |
| 01 | — | 143712 | DOMESTIC PROFESSIONAL SERVICE CORPORATION (PSC) | NY |
| 01 | — | 1871841577 | TYPE 1 NPI - INDIVIDUAL/RENDERING PROVIDER | NY |
| 01 | — | 2019082532 | ANCC PSYCH-MENTAL HEALTH CERTIFICATION (REGISTERED NURSE) | NY |
| 01 | — | 2023059078 | ANCC PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER (PMHNP-BC) | NY |
| 01 | — | 405069 | NURSE PRACTITIONER IN PSYCHIATRY (040) | NY |
| 01 | — | 744382 | REGISTERED PROFESSIONAL NURSING (022) | NY |
| 01 | — | 7513132 | DEPARTMENT OF STATE: DIVISION OF CORPORATIONS | NY |