Jessica Boer Castelo

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

3756 Issued in CO

Practice address

499 E Hampden Ave
Suite 360
Englewood, CO 80113-2780

Phone

(303) 781-4485

Fax

(303) 306-7753

NPI assigned

Aug 6, 2007

Last updated

Jul 7, 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

Other identifiers 1

Other names 1

• Mimi Boer Castelo Professional name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Boston University School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rocky Mountain Movement Disorders Center, P.C.Group PAC ID 5890875975, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JEAEAA

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.

• Rocky Mountain Movement Disorders Center, P.C.

  • Clinic/Center
  • Englewood, CO
  • NPI 1912192303
  Medicare reassignment Care Compare group NPD
• Castelo Neuropsychology

  • Medical Specialty Clinic/Center
  • Englewood, CO
  • NPI 1750633541
  NPD (past)
• Mile High Council on Alcoholism and Drug Abuse

  dba Mile High Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Denver, CO
  • NPI 1225867666
  NPD (past)

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1255522207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17528",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802170528",
            "telephone_number": "405-682-3303",
            "fax_number": "405-384-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 E HAMPDEN AVE",
            "address_2": "SUITE 360",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132780",
            "telephone_number": "303-781-4485",
            "fax_number": "303-306-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELO",
        "first_name": "JESSICA",
        "middle_name": "BOER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "3756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO MEDICAL LICENSE",
            "identifier": "PSY.0003756",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIMI",
            "last_name": "CASTELO",
            "middle_name": "BOER",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brigette Caruthers, PT, DPT
• Casa Francis LLC (A Place At Home - Denver Metro Southwest)
• Connor Leigh Casale
• Cassandra L Reynolds, MD, PC
• Castelo Neuropsychology
• Maria Carla Martinez Castillo
• William Castillo
• Elsa Castro, DMD
• Catalyss Counseling, PLLC (Catalyss Counseling)
• Catholic Charities and Community Services of the Archdiocese of Denver (St. Raphael Counseling)

• Clinical Neuropsychologist in Englewood, CO
• Providers in Englewood, CO by specialty
• Clinical Neuropsychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.

Verify at the official NPI Registry.