Neil Ryan Castronovo, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSYCHOLOGIST 3144 Issued in MA

Practice address

19 Marwood Rd
Worcester, MA 01602-1716

Phone

(508) 754-0393

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1740399666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MARWOOD RD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016021716",
            "telephone_number": "508-754-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MARWOOD RD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016021716",
            "telephone_number": "508-754-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRONOVO",
        "first_name": "NEIL",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "PSYCHOLOGIST 3144",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "PSYCHOLOGIST 3144",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0516023",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilma I Castro-Serrano, MA
• Isabel Cristina Castro, D.O.
• Jaritza Castro
• Jenitza Castro
• Melanie Castro
• Ashley Carina Casucci, CCC-SLP
• Alicia Caswell, MS, ATC
• Rosanne Catacchio
• Anthony Kevin Palmares Catalan, DPT
• Brigit Catalanotti, MA, R--DMT

• Clinical Psychologist in Worcester, MA
• Providers in Worcester, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.