Individual provider Active NPI

Juan Carlos Castillo, PSYD

  • Clinical Psychologist
  • McAllen, TX
National Provider Identifier
1902281322
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
37418 Issued in TX
Practice address
2616 Buddy Owens Blvd
McAllen, TX 78504-6900
Phone
(956) 800-5679
Fax
(956) 322-4415
NPI assigned
Jul 27, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical Psychologist 103TC0700X 37418 TX Primary

Addresses

Primary practice location

2616 Buddy Owens Blvd
McAllen, TX 78504-6900

Mailing address

2616 Buddy Owens Blvd
McAllen, TX 78504-6900
Phone (956) 800-5679

Other names 1

  • Dr. Carlos Castillo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20220215002744 TX Practitioner - Clinical Psychologist 7719370782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Groves Assessment and PsychotherapyGroup PAC ID 6901299973, 2 clinicians

Practice addresses (Care Compare)

2616 Buddy Owens Blvd
McAllen, TX 78504-6900
Phone (956) 800-5679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Groves Assessment and Psychotherapy Clinical CurrentSince Oct 30, 2021 Accepting new patients

Locations

2616 Buddy Owens Blvd
McAllen, TX 78504
Phone (956) 800-5679

301 N Main St
Ste 5
McAllen, TX 78501

807 Quince Ave
McAllen, TX 78501
Phone (956) 609-8686

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1902281322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 BUDDY OWENS BLVD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046900",
            "telephone_number": "956-800-5679",
            "fax_number": "956-322-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 BUDDY OWENS BLVD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046900",
            "telephone_number": "956-800-5679",
            "fax_number": "956-322-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-27",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLOS",
            "last_name": "CASTILLO",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.