Connie Jasmine Castro, PSY.D., NCSP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

022577 Issued in NY

Practice address

5392 62ND St
Maspeth, NY 11378

Phone

(917) 991-1615

NPI assigned

Jun 11, 2012

Last updated

Jul 21, 2018By the provider in NPPES

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Psychology Office of Dr. Connie Jasmine Castro PLLC

  • Psychologist
  • Maspeth, NY
  • NPI 1407333800
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532131200000",
    "number": "1508128083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5392 62ND ST",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781233",
            "telephone_number": "917-991-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5392 62ND ST",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "11378",
            "telephone_number": "917-991-1615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6285 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NY",
            "postal_code": "113852001",
            "country_code": "US",
            "telephone_number": "917-991-1615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "CONNIE",
        "middle_name": "JASMINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D., NCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2018-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "022577",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "1083399",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Campo, MSED
• Theresa Canares
• Audrey Deborah Carrott, RN
• Natasha Casasnovas
• John Anthony Casey
• Cerebral Harmony LLC
• Chadderwala Medical PC
• David Champlin
• Winnie Chan, L.AC
• Zoey Chen, MS ED

• Psychologist in Maspeth, NY
• Providers in Maspeth, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.