Jodie Castellani, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3657 Issued in NC

Practice address

7655 Bruton Smith Blvd
Concord, NC 28027-0148

Phone

(704) 651-9569

Fax

(704) 787-9672

NPI assigned

Jul 27, 2006

Last updated

Sep 5, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315180800000",
    "number": "1285658732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6012 BAYFIELD PKWY # 136",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277597",
            "telephone_number": "704-651-9569",
            "fax_number": "704-787-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7655 BRUTON SMITH BLVD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280270148",
            "telephone_number": "704-651-9569",
            "fax_number": "704-787-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANI",
        "first_name": "JODIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2011-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "2283",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3657",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Paige Cartwright, PA
• Natalie Carver
• Erica Lennon Cary, PSY.D.
• Marissa Alexandria Cary, BCBA
• Raquel Cassidy
• Anson Castelvecchi, RN
• Shawna Nicole Catoe, FNP-C
• Elizabeth Sheppard Caudle, DO
• Nellie Das Cauley, ANP
• Sherrell Nicole Cauley

• Clinical Psychologist in Concord, NC
• Providers in Concord, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2011; 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.