| Castillo Psychological, Llc | |
|
1605 S Main St Las Cruces NM 88005-3124 | |
| (575) 527-0614 | |
| (575) 541-4062 |
| Full Name | Castillo Psychological, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1605 S Main St, Las Cruces, New Mexico |
| Authorized Official Name and Position | Janette Elaine Castillo (PSYCHOLOGIST) |
| Authorized Official Contact | 5755270614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Castillo Psychological, Llc 1605 S Main St Las Cruces NM 88005-3124 Ph: (575) 527-0614 | Castillo Psychological, Llc 1605 S Main St Las Cruces NM 88005-3124 Ph: (575) 527-0614 |
| NPI Number | 1518455245 |
|---|---|
| Provider Enumeration Date | 04/27/2018 |
| Last Update Date | 02/07/2019 |
| Medicare PECOS PAC ID | 7416282702 |
|---|---|
| Medicare Enrollment ID | O20190709001524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518455245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1107 (New Mexico) | Primary |
| Provider Name | Janette E Castillo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942412135 PECOS PAC ID: 7214069061 Enrollment ID: I20100714001031 |
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