Active NPI
Daniel Castellanos, MD
- Child & Adolescent Psychiatry Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 68430
- Practice address
- 3141 N 3Rd Ave
Phoenix, AZ 85013-4360 - Phone
- (602) 914-1520
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 68430 | AZ | Primary |
Addresses
Primary practice location
3141 N 3Rd Ave
Phoenix, AZ 85013-4360
Mailing address
2929 E Thomas Rd
Phoenix, AZ 85016-8034
Phone (602) 470-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0633241-00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68430 | AZ | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maricopa County Special Health Care District | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Maricopa County Special Health Care District | Current | Accepting new patients | |
| University of Miami | Past | Accepting new patients | |
| District Medical Group, Inc | Family Medicine | Past | Accepting new patients |
Locations
950 E Main St
Mesa, AZ 85203
Phone (602) 655-6200
570 W Brown Rd
Mesa, AZ 85201
Phone (480) 344-2000
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
3141 N 3rd Ave
Ste 100
Phoenix, AZ 85013
Phone (602) 914-1520
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015
Interoperability endpoints
- dcastellanos251606@direct.valleywisehealth.org
Organizations & group practices 7
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1073576740
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Pulmonary Disease Physician
- Phoenix, AZ
- NPI 1700119815
-
- Federally Qualified Health Center (FQHC)
- Mesa, AZ
- NPI 1306265145
-
- Psychiatry Physician
- Miami, FL
- NPI 1437109048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1790793156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850168034",
"telephone_number": "602-470-5000",
"fax_number": "602-470-5064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3141 N 3RD AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134360",
"telephone_number": "602-914-1520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTELLANOS",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "AZ",
"license": "68430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0633241-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.