Jaleesa Briana Castrellon

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

113914 Issued in CA

Practice address

8814 Santa Fe Springs Rd
Whittier, CA 90606-2821

Phone

(909) 599-8222

Fax

(909) 599-8223

NPI assigned

Sep 10, 2019

Last updated

Sep 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Talkspace Provider Network Ca PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1003506866

  CA

  Medicare reassignment NPD
• Heritage Group Homes Inc.

  • Community/Behavioral Health Agency
  • Covina, CA
  • NPI 1346804432
  NPD (past)
• Heritage Group Homes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Phillips Ranch, CA
  • NPI 1013469881
  NPD (past)
• Heritage Group Homes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • La Verne, CA
  • NPI 1285186981
  NPD (past)
• Heritage Group Homes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • West Covina, CA
  • NPI 1306398185
  NPD (past)
• Heritage Group Homes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • West Covina, CA
  • NPI 1396297172
  NPD (past)
• Heritage Group Homes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Valinda, CA
  • NPI 1467904235
  NPD (past)
• Cortica New Jersey Developmental Therapies, PC

  • Developmental Disabilities Clinic/Center
  • Warren, NJ
  • NPI 1104589365
  NPD (past)

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1144879388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 GENTRY ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672100",
            "telephone_number": "909-599-8222",
            "fax_number": "909-599-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8814 SANTA FE SPRINGS RD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062821",
            "telephone_number": "909-599-8222",
            "fax_number": "909-599-8223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1923 E Eckerman Ave",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917911113",
            "country_code": "US",
            "telephone_number": "909-599-8222",
            "fax_number": "909-599-8223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1940 Baseline Rd",
            "address_purpose": "LOCATION",
            "city": "LA Verne",
            "state": "CA",
            "postal_code": "917502148",
            "country_code": "US",
            "telephone_number": "909-599-8222",
            "fax_number": "909-599-8222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "158 Gentry St",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917672100",
            "country_code": "US",
            "telephone_number": "909-599-8222",
            "fax_number": "909-599-8223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Country Wood Dr",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917664818",
            "country_code": "US",
            "telephone_number": "909-599-8222",
            "fax_number": "909-599-8223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16226 Benwick St",
            "address_purpose": "LOCATION",
            "city": "LA Puente",
            "state": "CA",
            "postal_code": "917441301",
            "country_code": "US",
            "telephone_number": "909-599-8222",
            "fax_number": "909-599-8223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRELLON",
        "first_name": "JALEESA",
        "middle_name": "BRIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "113914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly I Castillo
• Leonardo Andres Castillo, SLPA
• Montserrat Maria Castillo
• Rosemarie Castillo
• Destine Heaven Castorena
• Evelyn Juanita Castro-Guillen, LCSW
• Samantha Castro
• Sarai Castro
• Stephanie Castro
• Katherine Catapang

• Marriage & Family Therapist in Whittier, CA
• Providers in Whittier, 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 Sep 10, 2019; 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.