NPIMap

Organization Active NPI

Ud Health LLC

  • Clinical Psychologist
  • Newark, DE
National Provider Identifier
1821989856
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
UD HEALTH LLC
Practice address
100 Discovery Blvd
6TH Floor, Star Tower
Newark, DE 19713-1325
Phone
(302) 831-3000
NPI assigned
Jul 9, 2025
Last updated
Sep 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Jed Castellucci
Title
Chief Clinical Operating Officer
Phone
(302) 831-2705

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Clinical Psychologist 103TC0700X NU Primary
Family Psychologist 103TF0000X NU

Addresses

Primary practice location

100 Discovery Blvd
6TH Floor, Star Tower
Newark, DE 19713-1325

Mailing address

100 Discovery Blvd Ste 727
Newark, DE 19713-1325
Phone (302) 831-2705

Other names 1

  • Institute for Community Mental Health-Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230227001146 DE Part B Supplier - Clinic/Group Practice 6204209034 Receives reassigned benefits from 65 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newark, DE

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Institute for Community Mental Health-Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Discovery Blvd
Ste 727
Newark, DE 19713

Practitioners & affiliated clinicians

Practitioners 60

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1821989856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DISCOVERY BLVD STE 727",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197131325",
            "telephone_number": "302-831-2705",
            "fax_number": "302-831-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DISCOVERY BLVD",
            "address_2": "6TH FLOOR, STAR TOWER",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197131325",
            "telephone_number": "302-831-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UD HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "CASTELLUCCI",
        "authorized_official_first_name": "JED",
        "authorized_official_title_or_position": "CHIEF CLINICAL OPERATING OFFICER",
        "authorized_official_telephone_number": "302-831-2705"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Institute for Community Mental Health-Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.