Jessica Ryan Davidson Castaneda, M.A, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

106755 Issued in CA

Practice address

5190 Atlantic Ave
Long Beach, CA 90805-6510

Phone

(562) 428-4111

Fax

(562) 984-5461

NPI assigned

Jun 7, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1073951364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 WATSON PLAZA DR",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907124033",
            "telephone_number": "213-399-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908056510",
            "telephone_number": "562-428-4111",
            "fax_number": "562-984-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA",
        "first_name": "JESSICA",
        "middle_name": "RYAN DAVIDSON",
        "name_prefix": "Mrs.",
        "credential": "M.A, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "74386",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "106755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Andrea Cassotta, OTD, OTR/L
• Arcelia Castaneda
• Brisa Castaneda
• Elizabeth P Castaneda, DMD
• Guadalupe Castaneda
• Lesley Castaneda
• Leticia Castaneda, OTR, OTD
• Angela Jeaneth Castellanos, LCSW
• Blanca Castellanos
• Irene Carbajal Castellanos

• Marriage & Family Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.