Jack Castro, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C1-0012305 Issued in DE

Practice address

2300 Pennsylvania Ave Ste 4C
Wilmington, DE 19806-1338

Phone

(646) 755-5476

Fax

(570) 221-6246

NPI assigned

Jul 26, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

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 and National Provider Directory roles.

• Brandywine Valley TMS PA

  • Psychiatry Physician
  • Wilmington, DE
  • NPI 1386380525

  DE, Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1619319985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 HICKORY HILL RD",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193177333",
            "telephone_number": "646-755-5476",
            "fax_number": "570-221-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 PENNSYLVANIA AVE STE 4C",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061338",
            "telephone_number": "646-755-5476",
            "fax_number": "570-221-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "JACK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-26",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C1-0012305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Angeles Castillo, M.D.
• Yazmine Castillo
• Rebecca Castro-Arias
• Amanda Cassel Castro, M.D.
• Angelique Manuela Castro, M.S.
• Jose Marciano Castro, MD
• Marcia Gina C Castro, MD
• Remichia A Castro, BCBA
• Cata Home Care LLC
• Christopher Catagnus, DC

• Psychiatry Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Psychiatry Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.