Mark Sidney Castillo

Individual provider Active NPI Counselor · Greenfield, CA

NPI 1184845786 · NPPES record last updated Jun 21, 2021

Key facts

NPI
1184845786
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
215 Huerta Ave
Greenfield, CA 93927-5762
Phone
(831) 674-2180
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Psynergy Programs, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Case Manager/Care Coordinator 171M00000X
Counselor 101Y00000X Yes

Addresses

Primary practice location

215 Huerta Ave
Greenfield, CA 93927-5762

Mailing address

18225 Hale Ave
Morgan Hill, CA 95037-3547
Phone (408) 465-8280

Other providers in Greenfield, CA

All providers in Greenfield, CA · Counselor in California

Sources for this page

Verify at the official NPI Registry.