Individual provider Active NPI

Esther Veronica Castillo Lozano, PSYD

  • Clinical Psychologist
  • Arecibo, PR
National Provider Identifier
1376382093
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7780 Issued in PR
Practice address
538 Ave Jose a Cedeno Ste 3
Arecibo, PR 00612-3962
Phone
(787) 216-7074
NPI assigned
May 22, 2024
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7780 PR Primary

Addresses

Primary practice location

538 Ave Jose a Cedeno Ste 3
Arecibo, PR 00612-3962

Mailing address

Urb Estancias de Imbery
Calle Vistula Buzon 128
Barceloneta, PR 00617-9718
Phone (787) 216-7074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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

Enrollment IDStateProvider typePAC IDDetails
I20240809003603 PR Practitioner - Clinical Psychologist 5991243834 Practice locations: Arecibo, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7780PRMDClinical Psychologist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1376382093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB ESTANCIAS DE IMBERY",
            "address_2": "CALLE VISTULA BUZON 128",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006179718",
            "telephone_number": "787-216-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 AVE JOSE A CEDENO STE 3",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006123962",
            "telephone_number": "787-216-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO LOZANO",
        "first_name": "ESTHER",
        "middle_name": "VERONICA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.