MR. CARLOS BASTARDO
NPI 1417492281
Prevention Professional in Plymouth, IN

Q: What is Carlos Bastardo's NPI number?

The NPI number for Carlos Bastardo is 1417492281. It was assigned to this individual provider in the NPPES registry on January 3, 2017. The provider is also known as Mrs. Debra Lynn Bastardo.

Q: What is Carlos Bastardo's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

Q: When was this NPI record last updated?

The NPPES record for Carlos Bastardo was last updated on January 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 03, 2017

11191 SHADYLANE DR, PLYMOUTH, IN 46563(574) 936-4152(312) 256-9390 Get Directions Write a Review

NPPES record last updated: January 3, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Carlos Bastardo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CARLOS BASTARDO (NPI 1417492281) is an individual prevention professional provider in Plymouth, Indiana, licensed in Indiana (3577690) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1417492281

Entity TypeIndividualMale

Primary Taxonomy405300000X

Provider Legal NameMR. CARLOS BASTARDO

Location Address11191 SHADYLANE DRPlymouth, IN 46563-8623

Mailing Address11191 Shadylane DrPlymouth, IN 46563-8623 · (574) 936-4152 · Fax (312) 256-9390

Phone(574) 936-4152

Fax(312) 256-9390

Sole ProprietorNo

Enumeration DateJanuary 3, 2017

✔ NPI 1417492281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPrevention ProfessionalOther Service Providers

Taxonomy Code405300000X

License✔ Licensed in IN · 3577690

Definition

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

11191 SHADYLANE DR, Plymouth, IN 46563

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Other Names 1

Professional Name (2)Mrs. Debra Lynn Bastardo

Other Identifiers 1

Other3577690IN · National Producer Number

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carlos Bastardo's NPI number?

The NPI number for Carlos Bastardo is 1417492281. It was assigned to this individual provider in the NPPES registry on January 3, 2017. The provider is also known as Mrs. Debra Lynn Bastardo.

Where is Carlos Bastardo located?

Carlos Bastardo practices at 11191 Shadylane Dr, Plymouth, IN 46563. The listed phone number is (574) 936-4152.

What is Carlos Bastardo's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

When was this NPI record last updated?

The NPPES record for Carlos Bastardo was last updated on January 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.