Active NPI
Casey Nicole Chastain
- School Psychologist
- Princeton Junction, NJ
National Provider Identifier
1689399552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 70778
- Practice address
- 34 Berrien Ave
Princeton Junction, NJ 08550-1302 - Phone
- (281) 467-2161
- NPI assigned
- Oct 4, 2022
- 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 | 70778 | TX | Primary |
Addresses
Primary practice location
34 Berrien Ave
Princeton Junction, NJ 08550-1302
Mailing address
34 Berrien Ave
Princeton Junction, NJ 08550-1302
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 |
|---|---|---|---|
| 70778 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1689399552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 BERRIEN AVE",
"city": "PRINCETON JUNCTION",
"state": "NJ",
"postal_code": "085501302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 BERRIEN AVE",
"city": "PRINCETON JUNCTION",
"state": "NJ",
"postal_code": "085501302",
"telephone_number": "281-467-2161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASTAIN",
"first_name": "CASEY",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-04",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TX",
"license": "70778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton Junction, NJ
- Vincent Brett, MS, PHARMD
- Britelife Behavioral Health PJ
- Capital Health Occupational Health Center
- Center for Primary Care Medicine LLC
- Denise Yin Chan, RDN, LDN
- Zion H. Chen, D.D.S., M.P.H.
- Lalit C. Cherukuri
- Jennifer L Chiaramonti, M.S.ED., NCC, LPC
- Sandhya Chinala, MD
- Chiropractors on the Move, LLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.