Nicsam Behavioral Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NICSAM BEHAVIORAL HEALTH

Doing business as

The self love clinic

Practice address

6057 Stone Wash St
El Paso, TX 79932-2147

Phone

(915) 257-9189

NPI assigned

Apr 5, 2023

Organization subpart

No

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

Authorized official

Name

Diana Fabiola Castillo, LCSWNPI 1154034957

Title

Psychotherapist

Phone

(915) 474-7068

Specialties & licenses 1

Addresses

Other names 1

• The self love clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana Fabiola Castillo

  • Clinical Social Worker
  • El Paso, TX
  • NPI 1154034957
  Medicare reassignment NPD Authorized official
• Claudia Marcela Sanchez

  • Student in an Organized Health Care Education/Training Program
  • El Paso, TX
  • NPI 1023979259
  NPD (past)

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774137600000",
    "number": "1659076883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6057 STONE WASH ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799322147",
            "telephone_number": "915-257-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6057 STONE WASH ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799322147",
            "telephone_number": "915-257-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICSAM BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2026-03-22",
        "certification_date": "2026-03-22",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "FABIOLA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "915-474-7068",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The self love clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Ann Nickerson, M.D.
• Nickes Medical Supply, LLC
• Nickes Medical Supply, LLC
• Nicolas Baida Fragoso MD PLLC
• Nicolas Rich Jr MD Faap PA
• Lindsey Marie Niehay, M.D.
• Dana Nielsen, CCC-SLP
• Nieto Chiropractic
• Andres Nieto, FNP-C
• Daisy Corina Nieto, M.D.

• Community/Behavioral Health Agency in El Paso, TX
• Providers in El Paso, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.