Individual provider Active NPI

Christine Caselles, PH.D.

  • Psychologist
  • Bethesda, MD
National Provider Identifier
1396890067
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
03436 Issued in MD
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

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
03436MDMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Jun 7, 2020 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.

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

Verify at the official NPI Registry.