Kelly Castillo, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10938 Issued in CA

Practice address

667 Lighthouse Ave Ste 305
Pacific Grove, CA 93950-2667

Phone

(831) 318-0558

NPI assigned

Sep 7, 2016

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

Other names 1

• Kelly Mitchell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1245787266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 LIGHTHOUSE AVE STE 305",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502667",
            "telephone_number": "831-318-0558",
            "fax_number": "831-603-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 LIGHTHOUSE AVE STE 305",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502667",
            "telephone_number": "831-318-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "KELLY",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "10938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MITCHELL",
            "credential": "SLP-CCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy Ann Carnathan-Cribbs, MA
• Carrazana, DDS, Apdc
• Kritika Jo Carrazana, D.D.S.
• Vicente Carrazana, DDS
• Cassandra Ohlsen, M.D., Inc.
• Castlewood West
• Jasmine Kealamalia Lloyd Chan, PHARMD
• Sarah Sunshine Chance
• Pei Ju Crystal Chang, L.AC
• Won Joon Choi, DDS

• Speech-Language Pathologist in Pacific Grove, CA
• Providers in Pacific Grove, 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 Dec 9, 2022; 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.