Active NPI
Christine Caselles, PH.D.
- Psychologist
- Bethesda, MD
National Provider Identifier
1396890067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 03436
- Practice address
- 4300 Montgomery Ave Ste 104
Bethesda, MD 20814-4412 - Phone
- (301) 246-0421
- Fax
- (240) 474-0247
- NPI assigned
- Jan 24, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 03436 | MD | Primary |
| Psychiatry Physician | 2084P0800X | 03436 | MD |
Addresses
Primary practice location
4300 Montgomery Ave Ste 104
Bethesda, MD 20814-4412
Mailing address
4300 Montgomery Ave Ste 104
Bethesda, MD 20814-4412
Phone (301) 246-0421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 29, 2022 through Jun 29, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03436 | MD | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Evaluations and Treatment, L.L.C. | Psychologist | Current | Accepting new patients |
| Christine Caselles PHD LTD | Current | Accepting new patients | |
| Bethesda Psychological Evaluations and Treatment Limited | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Bethesda, MD
- NPI 1023767043
-
- Psychologist
- Bethesda, MD
- NPI 1114401346
-
- Community/Behavioral Health Agency
- Bethesda, MD
- NPI 1124642228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1396890067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 MONTGOMERY AVE STE 104",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144412",
"telephone_number": "301-246-0421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 MONTGOMERY AVE STE 104",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144412",
"telephone_number": "301-246-0421",
"fax_number": "240-474-0247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASELLES",
"first_name": "CHRISTINE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "03436",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "03436",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.