Active NPI
Jessica Castro, E.D.S.
- School Psychologist
- Los Lunas, NM
National Provider Identifier
1568618767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 327656
- Practice address
- 112 Meadow Lake Rd
Los Lunas, NM 87031-9449 - Phone
- (505) 866-8333
- NPI assigned
- Aug 7, 2008
- Last updated
- Nov 19, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 327656 | NM | Primary |
Addresses
Primary practice location
112 Meadow Lake Rd
Los Lunas, NM 87031-9449
Mailing address
PO Box 1300
Los Lunas, NM 87031-1300
Phone (505) 866-8333
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
| License | State | Type | Specialty |
|---|---|---|---|
| 327656 | NM | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Lunas Schools | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Los Lunas, NM
- NPI 1336233220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416355200000",
"number": "1568618767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1300",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870311300",
"telephone_number": "505-866-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 MEADOW LAKE RD",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870319449",
"telephone_number": "505-866-8333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "JESSICA",
"name_prefix": "Ms.",
"credential": "E.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-07",
"last_updated": "2014-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NM",
"license": "327656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Lunas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.