Organization Active NPI

Castlewood West

  • Mental Illness Community Based Residential Treatment Facility
  • Pacific Grove, CA
National Provider Identifier
1669727517
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
CASTLEWOOD WEST
Practice address
213 17 Mile Dr
Pacific Grove, CA 93950-2442
Phone
(636) 779-1444
Fax
(636) 779-1094
NPI assigned
Jul 17, 2012
Organization subpart
Yes
Parent organization
CASTLEWOOD TREATMENT CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Authorized official

Name
Mr. Andrew Esterer
Title
VP Finance
Phone
(636) 779-1444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X CA Primary

Addresses

Primary practice location

213 17 Mile Dr
Pacific Grove, CA 93950-2442

Mailing address

1260 Saint Paul Rd
Ballwin, MO 63021-8207
Phone (636) 779-1444

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2171373Castlewood West LLC Dba Alsana213 17 Mile Drive, Pacific Grove, CA 93950Certificate of waiverAug 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Castlewood Treatment Center West2 organizations share this tax ID, including this one
Part of
Castlewood Treatment Center LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1669727517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 SAINT PAUL RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630218207",
            "telephone_number": "636-779-1444",
            "fax_number": "636-779-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 17 MILE DR",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502442",
            "telephone_number": "636-779-1444",
            "fax_number": "636-779-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLEWOOD WEST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASTLEWOOD TREATMENT CENTER",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "ESTERER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "636-779-1444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.