Evelyn Theresa Castillo-Fundora, L.S.P, ED.S

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

SS1395 Issued in FL

Practice address

13101 SW 84TH St
Miami, FL 33183-4323

Phone

(305) 302-4776

NPI assigned

May 23, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• My School Psychologist, Inc

  dba Mhealth

  • Psychologist
  • Miami, FL
  • NPI 1982226171
  NPD Authorized official

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1447817556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13101 SW 84TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834323",
            "telephone_number": "305-302-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 SW 84TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834323",
            "telephone_number": "305-302-4776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103400 Overseas Hwy Ste 250",
            "address_purpose": "LOCATION",
            "city": "Key Largo",
            "state": "FL",
            "postal_code": "330372831",
            "country_code": "US",
            "telephone_number": "305-302-4776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10300 SW 72nd St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331733038",
            "country_code": "US",
            "telephone_number": "305-302-4776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO-FUNDORA",
        "first_name": "EVELYN",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "L.S.P, ED.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH21845",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Josue Castillo Victoriano, SA-C
• Raul Ernesto Castillo Yermenos, M.D
• Karime Hadassa Castillo Zaid
• Rosa P Castillo-Acosta, MD
• Erick Castillo-Baca, MD
• Adis Belsy Castillo
• Adriana Castillo, APRN
• Alberto Castillo
• Alberto J Castillo, MEDICAL INTERPRETER
• Alejandro Lazaro Castillo, MS

• School Psychologist in Miami, FL
• Providers in Miami, FL by specialty
• School Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.