Active NPI
Patricia Castillo
- Marriage & Family Therapist
- Commerce, CA
National Provider Identifier
1083893739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 2450 S Atlantic Blvd Ste 101
Commerce, CA 90040-1200 - Phone
- (323) 318-9960
- NPI assigned
- Oct 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
2450 S Atlantic Blvd Ste 101
Commerce, CA 90040-1200
Mailing address
2450 S Atlantic Blvd Ste 101
Commerce, CA 90040-1200
Phone (323) 318-9960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95-2633765 | Other | CA | MEDI-CAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soultenders Psychological Services, Inc. | Current | Accepting new patients | |
| Self Care Counseling Marriage Family and Child Therapy Inc. | Marriage & Family Therapist | Current | Accepting new patients |
| Soultenders, Inc. | Current | Accepting new patients | |
| Penny Lane | Past | Accepting new patients | |
| Penny Lane | Past | Accepting new patients |
Locations
41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249
250 W 1st St
Ste 346
Claremont, CA 91711
Phone (909) 343-4550
1910 W Sunset Blvd
Ste 400
Los Angeles, CA 90026
Phone (213) 347-4356
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Los Angeles, CA
- NPI 1558909960
Marriage & Family Therapist
-
- Clinical Psychologist
- Arcadia, CA
- NPI 1164617007
-
- Clinical Social Worker
- Arcadia, CA
- NPI 1235810722
-
- Community/Behavioral Health Agency
- Commerce, CA
- NPI 1043491756
-
- Community/Behavioral Health Agency
- Commerce, CA
- NPI 1558664631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355788800000",
"number": "1083893739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 S ATLANTIC BLVD STE 101",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900401200",
"telephone_number": "323-318-9960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 S ATLANTIC BLVD STE 101",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900401200",
"telephone_number": "323-318-9960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-30",
"last_updated": "2012-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "95-2633765",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Commerce, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.