1. Home
  2. Directory
  3. New York
  4. Riverhead
  5. Clinical Neuropsychologist
  6. NPI Profile

DR. CAITLIN MARIE MIRANDA PH.D.
NPI 1821640079
Clinical Neuropsychologist in Riverhead, NY

Active since July 09, 2019Opted out of Medicare · through May 24, 2028
21 E 2ND ST, RIVERHEAD, NY 11901(631) 766-8702 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Caitlin Marie Miranda Ph.d. NPPES

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

DR. CAITLIN MARIE MIRANDA PH.D. (NPI 1821640079) is an individual clinical neuropsychologist in Riverhead, New York, licensed in New York (023050) and active in the NPI registry since July 2019. She has opted out of Medicare through May 24, 2028.

NPPES Registry Identity

NPI1821640079
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. CAITLIN MARIE MIRANDACredential: PH.D.
Location Address21 E 2ND STRiverhead, NY 11901-4686
Mailing Address5 Harrison TerEast Quogue, NY 11942-4320 · (917) 747-5022
Phone(631) 766-8702
Sole ProprietorNo
Enumeration DateJuly 9, 2019
✔ NPI 1821640079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in NY · 023050
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 29705 (CA)
21 E 2ND ST, Riverhead, NY 11901
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Caitlin Marie Miranda Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 24, 2022 through May 24, 2028.

Opt-Out Effective DateMay 24, 2022
Opt-Out In Effect ThroughMay 24, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

DANCING GODDESS RISING MINISTRIES, LLC
Community/Behavioral Health
21 E 2ND ST, SUITE 101
RIVERHEAD, NY 11901
Suffolk County (516) 426-2700
MRS. LAUREN ALISON HERTWIG NP
Nurse Practitioner (Family)
21 E 2ND ST
RIVERHEAD, NY 11901
Suffolk County (631) 873-9257
PECONIC LICENSED MENTAL HEALTH COUNSELING
Counselor (Mental Health)
21 E 2ND ST
RIVERHEAD, NY 11901
Suffolk County (631) 838-0920
MS. SARAH ANNE TYTE LMHC
Counselor (Mental Health)
21 E 2ND ST
RIVERHEAD, NY 11901
Suffolk County (631) 838-0920

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 Caitlin Miranda's NPI number?

The NPI number for Caitlin Miranda is 1821640079. It was assigned to this individual provider in the NPPES registry on July 9, 2019.

Where is Caitlin Miranda located?

Caitlin Miranda practices at 21 E 2nd St, Riverhead, NY 11901. The listed phone number is (631) 766-8702.

What is Caitlin Miranda's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Caitlin Miranda enrolled in Medicare?

No. Caitlin Miranda has opted out of Medicare through May 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Caitlin Miranda was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.