MR. VICTOR D CAVATAIO JR. PMHNP-BC - NPI 1245057926 - Nurse Practitioner in Detroit, MI

Q: What is Victor Cavataio's NPI number?

The NPI number for Victor Cavataio is 1245057926. It was assigned to this individual provider in the NPPES registry on September 24, 2024.

Q: What is Victor Cavataio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Victor Cavataio was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Mr. Victor D Cavataio Jr. Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. VICTOR D CAVATAIO JR. PMHNP-BC (NPI 1245057926) is an individual psychiatric/mental health provider in Detroit, Michigan, licensed in Michigan (4704328743) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Detroit, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1245057926

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. VICTOR D CAVATAIO JR.Credential: PMHNP-BC

Location Address3901 CHRYSLER DR STE 3BDetroit, MI 48201-2167

Mailing Address400 Mack AveDetroit, MI 48201-2136

Phone(313) 577-1396

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 24, 2024

Last NPPES UpdateDecember 9, 20252 updates tracked since enumeration

NPPES CertifiedDecember 9, 2025

✔ NPI 1245057926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MI · 4704328743

Also ListedRegistered NurseTaxonomy 163W00000X · License 4704328743 (MI)

3901 CHRYSLER DR STE 3B, Detroit, MI 48201

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Secondary Practice Location 1

Location 142 W Warren AveDetroit, MI 48201-1347 · Phone (586) 850-5347

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Victor D Cavataio Jr. Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557855434

PECOS Enrollment IDI20251209001156

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA TEACH

Nurse Practitioner (Psychiatric/Mental Health)