NPI age
17 years
Enumerated 2008-10-28
● Active Type 2 · Organization
Grand Teton Child Neurology
Grand Teton Child Neurology is 1 of 5 psychiatry & neurology organizations in Idaho.
Primary specialty
Psychiatry & Neurology
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Castellanos
Neurologist
Last NPPES update
2021-08-17
Source: monthly bulk 2026-05
How this organization compares
Across 5 active psychiatry & neurology providers in Idaho.
NPI age
17 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 80% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-10Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
2225 Teton Plz Ste B
Idaho Falls, ID 834046494
Mailing address
2225 Teton Plz Ste B
Idaho Falls, ID 834046494
Authorized official
Peter W Castellanos, MD
Neurologist
📞 2085294300
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Peter Castellanos, MD Psychiatry & Neurology NPI 1811991474
Specialties
-
Psychiatry & Neurology PrimaryA Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
-
Community/Behavioral HealthA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 77234 | BLUE CROSS OF IDAHO |
| 05 (ID) | 807968700 |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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