Active NPI
Robert Castino, PHD
- Psychologist
- Fairfax, VA
National Provider Identifier
1659370112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0810001924
- Practice address
- 8500 Executive Park Ave
Suite 200
Fairfax, VA 22031-2225 - Phone
- (703) 698-5220
- Fax
- (703) 573-2351
- NPI assigned
- Jul 18, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0810001924 | VA | Primary |
Addresses
Primary practice location
8500 Executive Park Ave
Suite 200
Fairfax, VA 22031-2225
Mailing address
8500 Executive Park Ave
Suite 200
Fairfax, VA 22031-2225
Phone (703) 698-5220
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0023 | Other | VA | CAREFIRST DC |
| 513434 | Other | VA | NCPPO |
| 202924 | Other | VA | ANTHEM |
| 445086 | Other | MAMSI | |
| 4299797 | Other | AETNA | |
| 185163-000 | Other | VA | MAGELLAN |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1659370112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8500 EXECUTIVE PARK AVE",
"address_2": "SUITE 200",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312225",
"telephone_number": "703-698-5220",
"fax_number": "703-573-2351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8500 EXECUTIVE PARK AVE",
"address_2": "SUITE 200",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312225",
"telephone_number": "703-698-5220",
"fax_number": "703-573-2351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTINO",
"first_name": "ROBERT",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0810001924",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST DC",
"identifier": "0023",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "513434",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "202924",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "445086",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4299797",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "185163-000",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.