Individual provider Active NPI

Alan Santillan Castro, MD

  • Psychiatry Physician
  • Brecksville, OH
National Provider Identifier
1962516690
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35 06 9277 C Issued in OH
Practice address
8180 Brecksville Rd
# 115
Brecksville, OH 44141-1374
Phone
(216) 834-0010
Fax
(216) 834-0014
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35 06 9277 C OH Primary

Addresses

Primary practice location

8180 Brecksville Rd
# 115
Brecksville, OH 44141-1374

Mailing address

1300 Hamilton Dr
Broadview Heights, OH 44147-4232
Phone (440) 838-4363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120220001165 OH Practitioner - Psychiatry 2365600525 Practice locations: Brecksville, OH

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8180 Brecksville Rd
Suite 115
Brecksville, OH 44141-1374
Phone (440) 546-0048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35 06 9277 COHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oren Meyers PH D LLC Past Accepting new patients
Memory & Psychological Services, Inc. PastSince Jul 1, 2005 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1962516690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HAMILTON DR",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441474232",
            "telephone_number": "440-838-4363",
            "fax_number": "216-834-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 BRECKSVILLE RD",
            "address_2": "# 115",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411374",
            "telephone_number": "216-834-0010",
            "fax_number": "216-834-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "ALAN",
        "middle_name": "SANTILLAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35 06 9277 C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brecksville, OH

Sources for this page

Verify at the official NPI Registry.