Active NPI
Castlewood West
- Mental Illness Community Based Residential Treatment Facility
- Pacific Grove, CA
National Provider Identifier
1669727517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- 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 CENTER
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2171373 | Castlewood West LLC Dba Alsana | Certificate of waiver | Aug 28, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Castlewood Treatment Center West
- 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.
-
- Psychiatric Residential Treatment Facility
- Monterey, CA
- NPI 1497106769
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.