Brenda R Castells, MD
Individual provider Active NPI Child & Adolescent Psychiatry Physician · Palatka, FL
NPI 1366645129 · NPPES record last updated Apr 3, 2015
Key facts
- NPI
- 1366645129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- License
- ME111798 (FL)
- Practice address
- 330 Kay Larkin Dr
Palatka, FL 32177-2307 - Phone
- (386) 385-1240
- Fax
- (386) 385-1263
- NPI assigned
- Jun 8, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120328000996 | FL | Practitioner - Psychiatry | 6002970571 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Horizons of the Treasure Coast Inc | Current |
Accepting new patients | |
| University of Maryland Psychiatry Associates, PA | Past | Accepting new patients |
Locations
4500 W Midway Rd
Fort Pierce, FL 34981
Phone (561) 468-5600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | ME111798 | FL | Yes |
Addresses
Primary practice location
330 Kay Larkin Dr
Palatka, FL 32177-2307
Mailing address
330 Kay Larkin Dr
Palatka, FL 32177-2307
Phone (386) 385-1240
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME111798 | Medicaid | FL |
Other providers in Palatka, FL
- Narsimha Candula
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- Francis Carmel
- Shannon Terry Carrigan
- Lawrence Alan Carroll
- Michelle Lee Casto
- Lucia F Castro
- Centers for Advanced Imaging Inc
- Centerwell Health Services (Certified), Inc.
- Chance 2 Change
All providers in Palatka, FL · Child & Adolescent Psychiatry Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.