Dr Elizabeth Eliza Castle, BBA,MED,PCS

Primary specialty

SpecialistTaxonomy code 174400000X

License

081515-1 Issued in GA

Practice address

1527 Sam Rittenberg Blvd Ste 202
Charleston, SC 29407-4189

Phone

(404) 935-8722

NPI assigned

Aug 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Elizabeth Eliza Castle Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Business Administration, Master of Education

State licenses

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1437535705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 B SAVANNAH HIGHWAY STE 351",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29407",
            "telephone_number": "404-935-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 SAM RITTENBERG BLVD STE 202",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074189",
            "telephone_number": "404-935-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTLE",
        "first_name": "DR ELIZABETH",
        "middle_name": "ELIZA",
        "credential": "BBA,MED,PCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "081515-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARACLETOS COUNSELING SPECIALIST",
            "identifier": "081515-1",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CASTLE",
            "middle_name": "ELIZA",
            "prefix": "DR.",
            "credential": "BBA, ME.D,PCS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Louis M Castellano, CRNA
• Rebeca Eunice Abigail Castellanos Gonzalez, PHD
• Blake Castillo, MD
• Lawrence Castillo, MD
• Leiah Roxann Castillo, LMT
• Sharon S Castle, PHARM.D.
• Kristy Castles, DDS
• Dylan Alexander Castor, MD
• Katie McNamara Cathcart, DNP, MSN, FNP-C
• Catherine Wood PHD LLC

• Specialist in Charleston, SC
• Providers in Charleston, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.