Active NPI
Alan Santillan Castro, MD
- Psychiatry Physician
- Brecksville, OH
National Provider Identifier
1962516690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35 06 9277 C
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 35 06 9277 C | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oren Meyers PH D LLC | Past | Accepting new patients | |
| Memory & Psychological Services, Inc. | Past | 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.
-
- Clinical Neuropsychologist
- Brecksville, OH
- NPI 1336205590
-
- Psychologist
- Beachwood, OH
- NPI 1679701676
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.