Active NPI
Raymond Stephen Castro Jr.
- Psychologist
- Fresno, CA
National Provider Identifier
1225317928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSB36034
- Practice address
- 3443 W Shaw Ave
Fresno, CA 93711-3249 - Phone
- (559) 271-1186
- Fax
- (559) 271-8041
- NPI assigned
- Aug 11, 2011
- Last updated
- Aug 11, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSB36034 | CA | Primary |
Addresses
Primary practice location
3443 W Shaw Ave
Fresno, CA 93711-3249
Mailing address
3443 W Shaw Ave
Fresno, CA 93711-3249
Phone (559) 271-1186
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3475 W Shaw Ave
Suite 101
Fresno, CA 93711-3200
Phone (559) 271-1186
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB36034 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toribio Psychological Services, Professional Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Fresno, CA
- NPI 1275141681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1225317928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3443 W SHAW AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113249",
"telephone_number": "559-271-1186",
"fax_number": "559-271-8041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3443 W SHAW AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113249",
"telephone_number": "559-271-1186",
"fax_number": "559-271-8041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "RAYMOND",
"middle_name": "STEPHEN",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-11",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSB36034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.
- 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.