Jodi Lynn Castillo, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP17069 Issued in CA

Practice address

1523 San Juan Dr
Brea, CA 92821-1838

Phone

(714) 809-2180

NPI assigned

Apr 17, 2020

Last updated

Apr 17, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1225658479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 SAN JUAN DR",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928211838",
            "telephone_number": "714-809-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 SAN JUAN DR",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928211838",
            "telephone_number": "714-809-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP17069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Psychotherapy Services, Inc.
• Cheryl Denise Casey, MS
• John Theodore Casey, LCSW
• Eva Castaneda-Hogan, MACP/MFT
• Jeanneathe Castellanos
• Kaye-Lani Anne Castillo
• Catherine Nguyen
• Keith Paul Cavanaugh, OTR/L
• CBT Pacific Inc (CBT Orange County)
• Nicolas Martin Ceja, PTA

• Speech-Language Pathologist in Brea, CA
• Providers in Brea, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.