Active NPI
Reuben Mikhael Castagno, MENTAL HEALTH (LMHC)
- Mental Health Counselor
- Forest Hills, NY
National Provider Identifier
1154547800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 003008-1
- Practice address
- 10420 Queens Blvd
Suite 1K
Forest Hills, NY 11375-3629 - Phone
- (718) 753-1766
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 003008-1 | NY | Primary |
| School Psychologist | 103TS0200X | 1339260 | NY |
Addresses
Primary practice location
10420 Queens Blvd
Suite 1K
Forest Hills, NY 11375-3629
Mailing address
10420 Queens Blvd
Suite 1K
Forest Hills, NY 11375-3629
Phone (718) 753-1766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003008-1 | NY | MD | Mental Health Counselor |
| 1339260 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1154547800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10420 QUEENS BLVD",
"address_2": "SUITE 1K",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113753629",
"telephone_number": "718-753-1766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10420 QUEENS BLVD",
"address_2": "SUITE 1K",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113753629",
"telephone_number": "718-753-1766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTAGNO",
"first_name": "REUBEN",
"middle_name": "MIKHAEL",
"name_prefix": "Dr.",
"credential": "MENTAL HEALTH (LMHC)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "003008-1",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "1339260",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.