Individual provider Active NPI

Amanda Cassel Castro, M.D.

  • Child & Adolescent Psychiatry Physician
  • Wilmington, DE
National Provider Identifier
1942568142
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
C1-0012328 Issued in DE
Practice address
2300 Pennsylvania Ave Ste 4C
Wilmington, DE 19806-1338
Phone
(302) 635-0517
Fax
(570) 221-6246
NPI assigned
Apr 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X C1-0012328 DE Primary

Addresses

Primary practice location

2300 Pennsylvania Ave Ste 4C
Wilmington, DE 19806-1338

Mailing address

2300 Pennsylvania Ave Ste 4C
Wilmington, DE 19806-1338
Phone (302) 635-0517

Other practice location 1

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6211

Other names 1

  • Amanda Cassel Swank Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211201000245 PA Practitioner - Psychiatry 9133519457 Reassigns benefits to 1 organization
I20240628002517 DE Practitioner - Psychiatry 9133519457 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0012328DEMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brandywine Valley TMS PA Single Specialty CurrentSince Apr 1, 2024 Accepting new patients
Geisinger Clinic CurrentSince Dec 6, 2021 Accepting new patients
Geisinger Clinic Single Specialty CurrentSince Dec 6, 2021 Accepting new patients
Geisinger Clinic Single Specialty Current Accepting new patients

Locations

2300 Pennsylvania Ave
#4C1
Wilmington, DE 19806
Phone (302) 635-1710

2300 Pennsylvania Ave
Ste 4C
Wilmington, DE 19806
Phone (302) 658-4270

100 N Academy Ave
Danville, PA 17822

Interoperability endpoints

  • Direct secure messaging: acastro32775@direct.nemours.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1942568142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 PENNSYLVANIA AVE STE 4C",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061338",
            "telephone_number": "302-635-0517",
            "fax_number": "302-651-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 PENNSYLVANIA AVE STE 4C",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061338",
            "telephone_number": "302-635-0517",
            "fax_number": "570-221-6246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Academy Ave",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178229800",
            "country_code": "US",
            "telephone_number": "570-271-6211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "AMANDA",
        "middle_name": "CASSEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "DE",
            "license": "C1-0012328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SWANK",
            "middle_name": "CASSEL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.