Individual provider Active NPI

Stephanie M Castiglia, PSYD

  • Clinical Psychologist
  • Jupiter, FL
National Provider Identifier
1487871406
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6480 Issued in FL
Practice address
609 N Hepburn Ave
Suite 103
Jupiter, FL 33458-5015
Phone
(561) 745-5403
Fax
(561) 745-5406
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY6480 FL
Psychologist 103T00000X PY6480 FL
Clinical Psychologist 103TC0700X PY6480 FL Primary

Addresses

Primary practice location

609 N Hepburn Ave
Suite 103
Jupiter, FL 33458-5015

Mailing address

12564 189TH CT N
Jupiter, FL 33478-3753
Phone (561) 745-5403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY6480FLMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1487871406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12564 189TH CT N",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334783753",
            "telephone_number": "561-745-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N HEPBURN AVE",
            "address_2": "SUITE 103",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585015",
            "telephone_number": "561-745-5403",
            "fax_number": "561-745-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTIGLIA",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY6480",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6480",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.