Provider Demographics
NPI:1639239742
Name:CASTELLINI, JANET D (PSYD, APRN,BC)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:D
Last Name:CASTELLINI
Suffix:
Gender:F
Credentials:PSYD, APRN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3554 RAYMAR DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-1560
Mailing Address - Country:US
Mailing Address - Phone:513-871-0777
Mailing Address - Fax:513-793-1862
Practice Address - Street 1:9403 KENWOOD RD
Practice Address - Street 2:SUITE C107
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-6895
Practice Address - Country:US
Practice Address - Phone:513-793-1715
Practice Address - Fax:513-793-1862
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5965103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2486644Medicaid
OH2486644Medicaid