Individual provider Active NPI

Michael D. Castrilli, L.M.H.C., C.A.P.

  • Mental Health Counselor
  • Clermont, FL
National Provider Identifier
1407132806
Registry record updated Oct 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9741 Issued in FL
Practice address
235 Citrus Tower Blvd
Suite 107
Clermont, FL 34711-2712
Phone
(352) 404-8921
Fax
(352) 404-8922
NPI assigned
Oct 29, 2011
Last updated
Oct 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH9741 FL Primary

Addresses

Primary practice location

235 Citrus Tower Blvd
Suite 107
Clermont, FL 34711-2712

Mailing address

235 Citrus Tower Blvd
Suite 107
Clermont, FL 34711-2712
Phone (352) 404-8921

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

State licenses

LicenseStateTypeSpecialty
MH9741FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1319846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319846400000",
    "number": "1407132806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 CITRUS TOWER BLVD",
            "address_2": "SUITE 107",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112712",
            "telephone_number": "352-404-8921",
            "fax_number": "352-404-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CITRUS TOWER BLVD",
            "address_2": "SUITE 107",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112712",
            "telephone_number": "352-404-8921",
            "fax_number": "352-404-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRILLI",
        "first_name": "MICHAEL",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "L.M.H.C., C.A.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-29",
        "last_updated": "2011-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.