Active NPI
Jacqueline P Castille, M.D.
- Psychiatry Physician
- Brooklyn, NY
National Provider Identifier
1679659247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- P46621
- Practice address
- 681 Clarkson Ave
Brooklyn, NY 11203-2125 - Phone
- (718) 221-7053
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | P46621 | NY | Primary |
Addresses
Primary practice location
681 Clarkson Ave
Brooklyn, NY 11203-2125
Mailing address
17 Pineacre Dr
Smithtown, NY 11787-1622
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P46621 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679659247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 PINEACRE DR",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117871622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "681 CLARKSON AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032125",
"telephone_number": "718-221-7053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLE",
"first_name": "JACQUELINE",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "P46621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.