Active NPI
Marycruz Castaneda, M.ED.,ED.S
- School Psychologist
- San Luis, AZ
National Provider Identifier
1134036718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 4784544
- Practice address
- 1350 E. Cesar Chavez Blvd
San Luis, AZ 85349 - Phone
- (928) 627-6545
- Fax
- (928) 627-3635
- NPI assigned
- Aug 27, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 4784544 | AZ | Primary |
Addresses
Primary practice location
1350 E. Cesar Chavez Blvd
San Luis, AZ 85349
Mailing address
234 E Zapata St
San Luis, AZ 85336-0967
Phone (928) 627-6958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1134036718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 E ZAPATA ST",
"city": "SAN LUIS",
"state": "AZ",
"postal_code": "853360967",
"telephone_number": "928-627-6958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 E. CESAR CHAVEZ BLVD",
"city": "SAN LUIS",
"state": "AZ",
"postal_code": "85349",
"telephone_number": "928-627-6545",
"fax_number": "928-627-3635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTANEDA",
"first_name": "MARYCRUZ",
"name_prefix": "Mrs.",
"credential": "M.ED.,ED.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": "4784544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Luis, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.