CASTILLO PSYCHOLOGICAL, LLC (NPI# 1518455245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518455245 |
| Entity Type | Organization |
| Organization Name | CASTILLO PSYCHOLOGICAL, LLC |
| Practice Address |
1605 S Main St Las Cruces NM 88005-3124 |
| Practice Telephone | 5755270614 |
| Practice Fax Number | 5755414062 |
| Mailing Telephone | 5755270614 |
| Mailing Fax Number | 5755414062 |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2019-02-07 |
| Authorized Official Name | DR. JANETTE ELAINE CASTILLO (PSYCHOLOGIST) |
| Authorized Official Telephone | 5755270614 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1107 | NM | Behavioral Health & Social Service Providers |
| Street Address |
1605 S MAIN ST |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88005-3124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487005708 | Amanda Martinez | Social Worker | 1605 S Main St, Bldg B Suite A & B, Las Cruces, NM 88005-3124 | 2016-06-28 |
| 1063854453 | Mateo D Bernal | Acupuncturist | 1605 S Main St, Bldg A, Las Cruces, NM 88005-3124 | 2013-07-25 |
| 1710265079 | Tesoro Integrative Health Center | Clinic/Center | 1605 S Main St, Bldg A, Las Cruces, NM 88005-3124 | 2011-08-03 |
| 1942412135 | Janette Elaine Castillo | Counselor | 1605 S Main St, Bldg A, Las Cruces, NM 88005-3124 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158345 | Raymond Pope Stewart Jr. | Community Health Worker | 9999 W. Amador Avenue, Ste. A, Las Cruces, NM 88005 | 2019-05-09 |
| 1538638481 | Jennifer Mcafee | Social Worker | 3100 Oak St. Las Cruces, Nm, Las Cruces, NM 88005 | 2018-11-21 |
| 1023583226 | Richard Flores | Physical Therapist | 1090 Med Park Dr., Las Cruces, NM 88005 | 2018-10-04 |
| 1558850834 | Connections Therapy, Inc. | Counselor | 225 E Idaho Ave Ste 25, Las Cruces, NM 88005 | 2018-05-02 |
| 1982134771 | Madalyn Elyse Sprague | Behavior Technician | 1007 Ellendale Dr, Las Cruces, NM 88005 | 2017-06-14 |
| 1043766249 | Leandra Gabrielle Abeyta | Registered Nurse | 2363 W University Ave, Las Cruces, NM 88005 | 2016-08-28 |
| 1790172641 | Amistad Milestones LLC | Speech-Language Pathologist | 3100 Oak Street, Las Cruces, NM 88005 | 2015-04-17 |
| 1043628753 | Richael Anne Bouvet-jenkins | Social Worker | 755 W. Hadley Avenue, Las Cruces, NM 88005 | 2014-07-25 |
| 1194133801 | Helena Catalina Melendez | Dental Hygienist | 385 Calle Alegra Blg C, Las Cruces, NM 88005 | 2014-07-25 |
| 1447668256 | Cherie O'dell | Specialist | 1758 Highland Ave, Las Cruces, NM 88005 | 2014-07-24 |
| Find all providers in zip 88005 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891064150 | Randolph Philip Rountree | Psychologist | 1505 S Don Roser Dr Ste A, Las Cruces, NM 88011-4596 | 2011-12-15 |
| 1871780726 | Richard Nicastro | Psychologist | 1180 Commerce Dr, Las Cruces, NM 88011-8210 | 2007-09-25 |
| 1992928469 | Charles William Blanchard | Psychologist | 3205 Arrowhead Rd, Las Cruces, NM 88011-4786 | 2007-04-11 |
| 1194870303 | Southern New Mexico Psychological Associates Pa | Psychologist | 1655 Don Roser Dr, Las Cruces, NM 88011 | 2007-01-25 |
| 1316013915 | Isobel P Klein Hernandez | Psychologist | 427 N Reymond, Las Cruces, NM 88005 | 2006-11-27 |
| 1609950104 | Donna Jean Small | Psychologist | 2801 E Missouri Ave, #11, Las Cruces, NM 88011-5061 | 2006-10-24 |
| 1801978887 | Stuart S Kelter | Psychologist | 2145 El Paseo Rd, Las Cruces, NM 88001-6008 | 2006-10-19 |
| 1124113600 | Joe B Alexander | Psychologist | 4384 Sandalwood Dr, Las Cruces, NM 88011 | 2006-10-03 |
| 1477561173 | Howard B. Daniels | Psychologist | 1655 S Don Roser Dr, Las Cruces, NM 88011-4545 | 2006-08-04 |
| 1285661041 | David A Sachs | Psychologist | 3521 Del Rey Blvd, Las Cruces, NM 88012-7708 | 2006-06-27 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88005 |
Please comment or provide details below to improve the information on CASTILLO PSYCHOLOGICAL, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.