Camellia Clinical Services Inc

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

ME0028096 Issued in FL

Legal business name

CAMELLIA CLINICAL SERVICES INC

Practice address

250 N Kepler Rd
Deland, FL 32724-4712

Phone

(386) 717-2108

Fax

(386) 736-1321

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Aida Delcastillo, M.D.

Title

President

Phone

(386) 717-2108

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1710068903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N KEPLER RD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327244712",
            "telephone_number": "386-717-2108",
            "fax_number": "386-626-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N KEPLER RD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327244712",
            "telephone_number": "386-717-2108",
            "fax_number": "386-736-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELLIA CLINICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "DELCASTILLO",
        "authorized_official_first_name": "AIDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-717-2108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "ME0028096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernesto Bustinza Linares, M.D.
• Betty J Butler, MSW
• Christie Cain
• John Allan Calcagni, M.D.
• Breanna Victoria Calkins
• Camen Behavioral Services, LLC
• Primrose Elizabeth Cameron-Hall, EDD
• Daniel Tres Campbell, PA
• Bonnie K Candalino, ITDS
• Ariane Caparella, LCSW

• Geriatric Psychiatry Physician in Deland, FL
• Providers in Deland, FL by specialty
• Geriatric Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.