Active NPI
Adela Elvira Castillo, PSY.D.
- Psychologist
- New York City, NY
National Provider Identifier
1770818676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 639679951
- Practice address
- 10-24 49TH Avenue
Long Island City, Birch Family Services, Western Queens
New York City, NY 11101 - Phone
- (718) 786-1104
- Fax
- (718) 391-0040
- NPI assigned
- Oct 9, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 639679951 | NY | Primary |
Addresses
Primary practice location
10-24 49TH Avenue
Long Island City, Birch Family Services, Western Queens
New York City, NY 11101
Mailing address
10-24 49TH Avenue
Long Island City, Birch Family Services, Western Queens
New York City, NY 11101
Phone (718) 786-1104
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
| License | State | Type | Specialty |
|---|---|---|---|
| 639679951 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birch Family Services | Past | Accepting new patients | |
| Birch Family Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Local Education Agency (LEA)
- Long Island City, NY
- NPI 1275842858
-
- Community/Behavioral Health Agency
- Long Island City, NY
- NPI 1902114580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255046400000",
"number": "1770818676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10-24 49TH AVENUE",
"address_2": "LONG ISLAND CITY, BIRCH FAMILY SERVICES, WESTERN QUEENS",
"city": "NEW YORK CITY",
"state": "NY",
"postal_code": "11101",
"telephone_number": "718-786-1104",
"fax_number": "718-391-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10-24 49TH AVENUE",
"address_2": "LONG ISLAND CITY, BIRCH FAMILY SERVICES, WESTERN QUEENS",
"city": "NEW YORK CITY",
"state": "NY",
"postal_code": "11101",
"telephone_number": "718-786-1104",
"fax_number": "718-391-0040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "ADELA",
"middle_name": "ELVIRA",
"name_prefix": "Ms.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-09",
"last_updated": "2009-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "639679951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.