Individual provider Active NPI

Madi E Castillo, MS, SLP/ CCC-A

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1982871091
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
111957 Issued in TX
Practice address
1011 S Texas 6 Suite 311
Houston, TX 77077-7749
Phone
(917) 731-8140
NPI assigned
May 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD000109 DC
Speech-Language Pathologist 235Z00000X 111957 TX Primary

Addresses

Primary practice location

1011 S Texas 6 Suite 311
Houston, TX 77077-7749

Mailing address

23210 Willow Canyon Dr
Katy, TX 77494-3526
Phone (917) 731-8140

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200129000797 TX Practitioner - Qualified Speech Language Pathologist 6406929140 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AUD000109DCMDAudiologist
002185NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Speech Services L.L.C. Speech-Language Pathologist CurrentSince Jan 1, 2020 Accepting new patients
Legacy Speech Services L.L.C. Past Accepting new patients

Locations

2026 Wirt Rd
Ste 103B
Houston, TX 77055
Phone (832) 980-7061

633 E Fernhurst Dr
Ste 604
Katy, TX 77450
Phone (832) 980-7061

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": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1982871091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23210 WILLOW CANYON DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943526",
            "telephone_number": "917-731-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 S TEXAS 6 SUITE 311",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770777749",
            "telephone_number": "917-731-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "MADI",
        "middle_name": "E",
        "credential": "MS, SLP/ CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "DC",
            "license": "AUD000109",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.