Active NPI
Anthony Castellanos, MA, LEP
- Psychologist
- Downey, CA
National Provider Identifier
1891538575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4450
- Practice address
- 10409 Lakewood Blvd Unit 1353
Downey, CA 90240-1219 - Phone
- (310) 430-2222
- NPI assigned
- Jun 18, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4450 | CA | Primary |
Addresses
Primary practice location
10409 Lakewood Blvd Unit 1353
Downey, CA 90240-1219
Mailing address
12329 Marbel Ave
Downey, CA 90242-2642
Phone (310) 430-4222
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4450 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1891538575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12329 MARBEL AVE",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902422642",
"telephone_number": "310-430-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10409 LAKEWOOD BLVD UNIT 1353",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902401219",
"telephone_number": "310-430-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTELLANOS",
"first_name": "ANTHONY",
"credential": "MA, LEP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-18",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "4450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.