Active NPI
Princess Claire Ravelas
- Psychiatric/Mental Health Nurse Practitioner
- Middle River, MD
National Provider Identifier
1821921230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R264103
- Practice address
- 11560 Crossroads Cir Ste 102
Middle River, MD 21220-2885 - Phone
- (410) 508-0722
- NPI assigned
- Jun 5, 2026
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R264103 | MD | Primary |
Addresses
Primary practice location
11560 Crossroads Cir Ste 102
Middle River, MD 21220-2885
Mailing address
11560 Crossroads Cir Ste 102
Middle River, MD 21220-2885
Phone (410) 508-0722
Other names 1
- Princess Claire Castillo
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 |
|---|---|---|---|
| R264103 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1821921230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11560 CROSSROADS CIR STE 102",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202885",
"telephone_number": "410-508-0722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11560 CROSSROADS CIR STE 102",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202885",
"telephone_number": "410-508-0722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVELAS",
"first_name": "PRINCESS",
"middle_name": "CLAIRE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-05",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R264103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PRINCESS CLAIRE",
"last_name": "CASTILLO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Middle River, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.