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DR. KENNETH LEE CACCAVALE M.D.
NPI 1821281288
Psychiatry & Neurology - Psychiatry in New York, NY

Active since August 20, 2007PECOS Enrolled
39 JANE ST, SUITE #1E, NEW YORK, NY 10014(212) 243-9085(212) 243-9085 Get Directions Write a Review

NPPES record last updated: August 20, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kenneth Lee Caccavale M.d. NPPES

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

DR. KENNETH LEE CACCAVALE M.D. (NPI 1821281288) is an individual psychiatry provider in New York, New York, licensed in New York (116401-1) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1971).

NPPES Registry Identity

NPI1821281288
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. KENNETH LEE CACCAVALECredential: M.D.
Location Address39 JANE ST, SUITE #1ENew York, NY 10014-5106
Mailing Address39 Jane St, Suite #1eNew York, NY 10014-5106 · (212) 243-9085 · Fax (212) 243-9085
Phone(212) 243-9085
Fax(212) 243-9085
Sole ProprietorYes
Medical School CMSOtherGraduated 1971
Enumeration DateAugust 20, 2007
✔ NPI 1821281288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 116401-1
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
39 JANE ST, New York, NY 10014
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Other Identifiers 3

Medicare UPINA63082NY
Medicaid00215518NY
Medicare PIN510841NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Lee Caccavale M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527227750
PECOS Enrollment IDI20120308000060
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kenneth Caccavale reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Metropolitan Community Services Inc
6.5 mi
Rehabilitation, Substance Use Disorder
1049 38TH ST, SUITE 2
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1326590993 (718) 704-0200
Brooklyn 38 Lcsw PLLC
7.8 mi
Clinical Child & Adolescent
202 FOSTER AVE STE B
Brooklyn, NY 11230
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1639799216 (917) 414-8676
Clearwater Counseling Associates Lcsw, PLLC
72 mi
Community/Behavioral Health
10 BEADART PL
Hyde Park, NY 12538
  • Reassigned Medicare billing, New York enrollment
  • 20 clinicians in this Medicare group
NPI 1700236775 (845) 490-7277

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10014 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Caccavale's NPI number?

The NPI number for Kenneth Caccavale is 1821281288. It was assigned to this individual provider in the NPPES registry on August 20, 2007.

Where is Kenneth Caccavale located?

Kenneth Caccavale practices at 39 Jane St Suite #1e, New York, NY 10014. The listed phone number is (212) 243-9085.

What is Kenneth Caccavale's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kenneth Caccavale enrolled in Medicare?

Yes. Kenneth Caccavale is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kenneth Caccavale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Caccavale reassigns Medicare benefits to 3 organizations: Metropolitan Community Services Inc (Brooklyn, NY), Brooklyn 38 Lcsw PLLC (Brooklyn, NY) and Clearwater Counseling Associates Lcsw, PLLC (Hyde Park, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Caccavale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenneth Caccavale was last updated on August 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.