Veronica Castro, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

39016 Issued in TX

Practice address

2504 N Conway Ave
Mission, TX 78574-2349

Phone

(956) 519-9000

Fax

(956) 519-7722

NPI assigned

Mar 20, 2007

Last updated

Jan 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mission Psychological Center, P.a.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mission, TX
  • NPI 1730219007
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1003931122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 N CONWAY AVE",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785742349",
            "telephone_number": "956-519-9000",
            "fax_number": "956-519-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 N CONWAY AVE",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785742349",
            "telephone_number": "956-519-9000",
            "fax_number": "956-519-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "VERONICA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178404301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Isabel Castillo, LVN
• Tessa Izabella Castillo
• Veronica Castillo
• Esmeralda Margarita Castro Blanco
• Guia Castro
• John Zacarias Cavazos, RPH
• Marie Gonzalez Cavazos, SLPA
• Norma L. Cavazos, D.O.
• Veronica Cavazos, NP
• Maria Elizabeth Cazares, MED, LPC

• Clinical Psychologist in Mission, TX
• Providers in Mission, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.