Active NPI
Eleanor D Castillo Sumi, PHD, BCBA-D
- Clinical Psychologist
- Campbell, CA
National Provider Identifier
1285794602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY17407
- Practice address
- 251 Llewellyn Ave
Campbell, CA 95008-1940 - Phone
- (408) 425-2179
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY17407 | CA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY17407 | CA | |
| Clinical Psychologist | 103TC0700X | PSY17407 | CA | Primary |
Addresses
Primary practice location
251 Llewellyn Ave
Campbell, CA 95008-1940
Mailing address
251 Llewellyn Ave
Campbell, CA 95008-1940
Phone (408) 425-2179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY17407 | CA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1285794602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 LLEWELLYN AVE",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950081940",
"telephone_number": "408-425-2179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 LLEWELLYN AVE",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950081940",
"telephone_number": "408-425-2179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO SUMI",
"first_name": "ELEANOR",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PHD, BCBA-D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY17407",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY17407",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY17407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.