Individual provider Active NPI

Courtney Castro

  • Behavior Analyst
  • Norwalk, CT
National Provider Identifier
1831675974
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-40768 Issued in CT
Practice address
14 Westport Ave
Norwalk, CT 06851-3915
Phone
(670) 066-3203
NPI assigned
Jul 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-40768 CT Primary

Addresses

Primary practice location

14 Westport Ave
Norwalk, CT 06851-3915

Mailing address

100 Mill Plain Rd Ste 1C
Danbury, CT 06811-5178
Phone (203) 762-6426

Other practice location 1

100 Mill Plain Rd Ste 1C
Danbury, CT 06811-5178
Phone (203) 762-6426

Other practice location 2

141 E Main St
Waterbury, CT 06702-2310
Phone (203) 574-9000 ext. 1170

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

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1831675974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MILL PLAIN RD STE 1C",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068115178",
            "telephone_number": "203-762-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WESTPORT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068513915",
            "telephone_number": "670-066-3203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Mill Plain Rd Ste 1C",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068115178",
            "country_code": "US",
            "telephone_number": "203-762-6426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067022310",
            "country_code": "US",
            "telephone_number": "203-574-9000 x1170",
            "fax_number": "203-574-9006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1-20-40768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.