Cast Centers LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CAST CENTERS LLC

Practice address

630 N Doheny Dr
West Hollywood, CA 90069-5506

Phone

(310) 873-3935

Fax

(310) 564-1883

NPI assigned

Mar 8, 2016

Organization subpart

Yes

Parent organization

CAST HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Stephanie L. Grayson, PH.D.

Title

Executive Director

Phone

(310) 873-3935

Specialties & licenses 1

Addresses

Other names 1

• Cast Recovery Services of Santa Monica, Inc. Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1114388840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N DOHENY DR",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900695506",
            "telephone_number": "310-873-3935",
            "fax_number": "310-564-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N DOHENY DR",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900695506",
            "telephone_number": "310-873-3935",
            "fax_number": "310-564-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAST CENTERS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAST HOLDINGS LLC",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-873-3935",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cast Recovery Services of Santa Monica, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ivy McKenzie Carson, NP
• Chiara Casas, NP
• Jonathan Casler, MPT
• Suzanne Cassel, MD
• Brian Jospeh Cassmassi, M.D.
• C Edward Villasenor Castelo, M.D.
• Carolina Castillo, CLINICAL DIETITIAN
• Saul Osmin Castillo Jr., MD
• Cloris Castro, OD
• Pedro Alexandre Catarino, MD

• Substance Use Disorder Rehabilitation Clinic/Center in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.