Luisa Pastora Castellanos, PHD PSYCHOLOGIST, CO

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

1297 Issued in NM

Practice address

3831 E Lohman Ave # 2
Las Cruces, NM 88011-8266

Phone

(505) 523-4036

Fax

(505) 523-4038

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NM

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Lifeworks Unlimited Inc

  • Psychologist
  • Las Cruces, NM
  • NPI 1225114598
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1801944863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13914",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880133914",
            "telephone_number": "505-523-4036",
            "fax_number": "505-523-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 E LOHMAN AVE # 2",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118266",
            "telephone_number": "505-523-4036",
            "fax_number": "505-523-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANOS",
        "first_name": "LUISA",
        "middle_name": "PASTORA",
        "name_prefix": "Dr.",
        "credential": "PHD PSYCHOLOGIST, CO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NM",
            "license": "1297",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NM",
            "license": "1297",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00NM003M73",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53784740",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN",
            "identifier": "86998",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS OF NM",
            "identifier": "NMW2144",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alissa J Cassity
• Lisa Marie Castaneda-Murillo, MSW INTERN
• Eduardo Castaneda
• Carlo Castanon
• Matthew Castanon, CNP
• Rene Monique Castelo, BSN, RN
• Brenda Castillo Gomez
• Castillo Psychological, LLC
• Adriana Castillo
• Anneliese Castillo, R.N.

• Counseling Psychologist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Counseling Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.