Individual provider Active NPI

Paula Carolina Castillo, PSYD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1992804876
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.006546 Issued in IL
Practice address
6250 W North Ave FL 1
Chicago, IL 60639-3861
Phone
(773) 622-6218
Fax
(773) 622-7440
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.006546 IL Primary

Addresses

Primary practice location

6250 W North Ave FL 1
Chicago, IL 60639-3861

Mailing address

6250 W North Ave FL 1
Chicago, IL 60639-3861
Phone (773) 622-6218

Other practice location 1

3166 N Lincoln Ave Ste 224
Chicago, IL 60657-3119
Phone (312) 909-1007

Other practice location 2

946 W 18th Pl Fl 1
Chicago, IL 60608-3464
Phone (773) 622-6218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20050928000524 IL Practitioner - Clinical Psychologist 7416982574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centro Castillo for Personal and Family Wellbeing LLCGroup PAC ID 8022196641, 2 clinicians

Practice addresses (Care Compare)

6250 W N Ave
FL 1
Chicago, IL 60639-3861
Phone (773) 622-6218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.006546ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Castillo for Personal and Family Wellbeing, LLC Clinical CurrentSince Aug 29, 2007 Accepting new patients
Gersten & Associates Past Accepting new patients

Locations

6250 W North Ave
#1
Chicago, IL 60639
Phone (773) 309-8012

3166 N Lincoln Ave
Ste 224
Chicago, IL 60657
Phone (773) 622-6218

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1992804876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6250 W NORTH AVE FL 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606393861",
            "telephone_number": "773-622-6218",
            "fax_number": "773-622-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 W NORTH AVE FL 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606393861",
            "telephone_number": "773-622-6218",
            "fax_number": "773-622-7440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3166 N Lincoln Ave Ste 224",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606573119",
            "country_code": "US",
            "telephone_number": "312-909-1007",
            "fax_number": "773-327-4542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "946 W 18th Pl Fl 1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606083464",
            "country_code": "US",
            "telephone_number": "773-622-6218",
            "fax_number": "773-622-7440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "PAULA",
        "middle_name": "CAROLINA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.006546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.