Judith Castellon
NPI 1174982896ActiveIndividual· Marriage & Family Therapist· Canoga Park, CA
Marriage & Family Therapist with Southern California Permanente Medical Group, practicing in Canoga Park, California. Enrolled in Medicare as practitioner - marriage and family therapist.
Overview
| NPI | 1174982896 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Feb 23, 2016 |
| Last updated in NPPES | Nov 8, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 116172 | CA |
| Counselor, Mental Health | 101YM0800X | 106720 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Marriage and Family Therapist (CA) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Marriage And Family Therapist |
Medical group
- Southern California Permanente Medical GroupRedlands, CA · 11,293 clinicians
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All 57 marriage and family therapists in Canoga Park · All marriage and family therapists in California