Individual provider Active NPI

Nayomah Gail Wilson-Castle, MHC-P

  • Mental Health Counselor
  • Irving, NY
National Provider Identifier
1497296883
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P00490 Issued in NY
Practice address
36 Thomas Indian School Drive
Irving, NY 14081
Phone
(716) 532-5583
Fax
(716) 532-8324
NPI assigned
Mar 17, 2017
Last updated
Mar 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P00490 NY Primary

Addresses

Primary practice location

36 Thomas Indian School Drive
Irving, NY 14081

Mailing address

36 Thomas Indian School Dr
Irving, NY 14081-9300
Phone (716) 532-5583

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P00490NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1497296883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 THOMAS INDIAN SCHOOL DR",
            "city": "IRVING",
            "state": "NY",
            "postal_code": "140819300",
            "telephone_number": "716-532-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 THOMAS INDIAN SCHOOL DRIVE",
            "city": "IRVING",
            "state": "NY",
            "postal_code": "14081",
            "telephone_number": "716-532-5583",
            "fax_number": "716-532-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-CASTLE",
        "first_name": "NAYOMAH",
        "middle_name": "GAIL",
        "credential": "MHC-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P00490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.