Ivette Laura Castillo, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

32615 Issued in TX

Practice address

12920 Dairy Ashford Rd
Ste. 105
Sugar Land, TX 77478-3177

Phone

(713) 592-8952

Fax

(713) 592-9266

NPI assigned

Mar 22, 2011

Sex

Female

Sole proprietor

No

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

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.

• Brown Nelson Frank & Associates

  • Clinical Psychologist
  • Bellaire, TX
  • NPI 1407926785
  Medicare reassignment

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1134428766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S",
            "address_2": "STE. 600",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013500",
            "telephone_number": "713-592-8952",
            "fax_number": "713-592-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12920 DAIRY ASHFORD RD",
            "address_2": "STE. 105",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783177",
            "telephone_number": "713-592-8952",
            "fax_number": "713-592-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "IVETTE",
        "middle_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "32615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288984201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cashion & Cody, PC
• Timothy James Cashion, D.D.S.
• Jonathan Casimir
• Lauren Caspary
• Lucy McCollom Casteel, MD
• Johanna A Castillo, PHARMD.
• Tracey Castillo, AU.D.
• Lauren Nicole Catache, PT, DPT
• Julie Angelica Caudle, MMFT, LMFTA
• Allan Cave, AGACNP-BC

• Clinical Child & Adolescent Psychologist in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Clinical Child & Adolescent Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.