Mirel L. Castle, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.009119 Issued in IL

Practice address

1818 Dempster St
Evanston, IL 60202-1003

Phone

(773) 415-2040

NPI assigned

Apr 28, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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, 2010

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

The Juniper Center PCGroup PAC ID 1557557725, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Juniper Center PC

  dba The Center for Relationship Health Margo M Jacquot Psyd CSADC

  • Mental Health Counselor
  • Park Ridge, IL
  • NPI 1902906324
  Medicare reassignment Care Compare group
• Behavorial Health Associates LTD

  • Adult Development & Aging Psychologist
  • Chicago, IL
  • NPI 1215153853
  Medicare reassignment

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1740455021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6637 N FRANCISCO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454305",
            "telephone_number": "773-764-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 DEMPSTER ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021003",
            "telephone_number": "773-415-2040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1440 Renaissance Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600681471",
            "country_code": "US",
            "telephone_number": "847-759-9110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTLE",
        "first_name": "MIREL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Anne Casini, D.O.
• Jaclyn A Caskey, CRNA
• Immacolata Paola Cassetta, M.A.P.C.
• Cassidy Buckelew PSYD LLC (Elysian Mental Health)
• Daniel James Castillo, M.D.
• Anamaria Elena Castro, PA-C
• Cindy Solorzano Castro, LCSW
• Jena M Catania, MA
• Suzanne Cecelia Caulfield, LSW
• Alexis Cavanaugh, M.D.

• Clinical Psychologist in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.