Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth Lee Caccavale, MD

Individual provider Psychiatry Physician · NPI 1821281288

Dr. Kenneth Lee Caccavale, MD is a Psychiatry in New York, New York. Qualified in 1971, 55 years ago. Practices with Metropolitan Community Services Inc, a 2-clinician group. Licensed in New York.

Years since qualifying
55
Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

39 Jane St Ste #1E
New York, NY 10014-5106
Phone: (212) 243-9085
Fax: (212) 243-9085
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 116401-1 (NY)

Record details

NPI number1821281288
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 20, 2007
Last updated in NPPESAugust 20, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1971 (55 years in practice)
Group practice Metropolitan Community Services Inc — 2 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in New York