Carolina Heather Castillo, MFTI 63884

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

63884(MFTI) Issued in CA

Practice address

2100 5TH Street
Davis, CA 95618

Phone

(530) 747-3496

Fax

(530) 753-0398

NPI assigned

Sep 27, 2006

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

Other names 1

• Ms. Carolina Heather Callander Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1649361619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 5TH STREET",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "95618",
            "telephone_number": "530-747-3496",
            "fax_number": "530-753-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 5TH STREET",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "95618",
            "telephone_number": "530-747-3496",
            "fax_number": "530-753-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "CAROLINA",
        "middle_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "MFTI 63884",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFTI 45112",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "63884(MFTI)",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINA",
            "last_name": "CALLANDER",
            "middle_name": "HEATHER",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gilbert Bruce Carter, M.D.
• Daren Allen Casagrande, LMFT
• Corinne Houston Case, PA-C
• Jamie Blair Cassianna
• Jarvin Omar Castanon Velasquez
• James Castles, M.D.
• Marisela Cruz Castro
• Mary Caswell, LVN
• Kristen A Cates, CNM
• Tara Nicole Catledge

• Student in an Organized Health Care Education/Training Program in Davis, CA
• Providers in Davis, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.