NPIMap

Organization Active NPI

Craig Castro Psychological Services, LLC

  • Psychologist
  • Gurnee, IL
National Provider Identifier
1235551060
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071-007815 Issued in IL
Legal business name
CRAIG CASTRO PSYCHOLOGICAL SERVICES, LLC
Practice address
1800 Nations Dr
Suite 208
Gurnee, IL 60031-9168
Phone
(773) 456-3156
NPI assigned
Jan 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Dr. Douglas Neal Craig II, PSY.D.NPI 1447563903
Title
President/Chief Psychologist
Phone
(773) 456-3156

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 071-007815 IL Primary

Addresses

Primary practice location

1800 Nations Dr
Suite 208
Gurnee, IL 60031-9168

Mailing address

7N699 Wagontire Rd
St Charles, IL 60175-6620
Phone (773) 456-3156

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1235551060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7N699 WAGONTIRE RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601756620",
            "telephone_number": "773-456-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NATIONS DR",
            "address_2": "SUITE 208",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600319168",
            "telephone_number": "773-456-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG CASTRO PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "PRESIDENT/CHIEF PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-456-3156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071-007815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.