Brenda R Castells, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

ME111798 Issued in FL

Practice address

330 Kay Larkin Dr
Palatka, FL 32177-2307

Phone

(386) 385-1240

Fax

(386) 385-1263

NPI assigned

Jun 8, 2007

Last updated

Apr 3, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• New Horizons of the Treasure Coast Inc

  • Community/Behavioral Health Agency
  • Fort Pierce, FL
  • NPI 1154439958
  Medicare reassignment NPD
• University of Maryland Psychiatry Associates, PA

  dba Psychiatry Associates, PA

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1649292699
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1366645129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 KAY LARKIN DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772307",
            "telephone_number": "386-385-1240",
            "fax_number": "386-385-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 KAY LARKIN DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772307",
            "telephone_number": "386-385-1240",
            "fax_number": "386-385-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLS",
        "first_name": "BRENDA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME111798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ME111798",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Narsimha Candula
• Cardiac Care Center Inc
• Francis Carmel, MSN, FNP-BC
• Shannon Terry Carrigan, RD/LD ,MS
• Lawrence Alan Carroll, OPTICIAN
• Michelle Lee Casto, ARNP
• Lucia F Castro, LPN
• Centers for Advanced Imaging Inc
• Centerwell Health Services (Certified), Inc. (Centerwell Home Health)
• Chance 2 Change (Break the Cycle)

• Child & Adolescent Psychiatry Physician in Palatka, FL
• Providers in Palatka, FL by specialty
• Child & Adolescent Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.