Active NPI
Mallelyn Castro, RN
- Psychiatric/Mental Health Nurse Practitioner
- Hialeah, FL
National Provider Identifier
1982242343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11030851
- Practice address
- 4385 W 16TH Ave
Hialeah, FL 33012-7628 - Phone
- (305) 824-0637
- Fax
- (305) 824-0628
- NPI assigned
- Dec 17, 2019
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11030851 | FL | Primary |
Addresses
Primary practice location
4385 W 16TH Ave
Hialeah, FL 33012-7628
Mailing address
4385 W 16TH Ave
Hialeah, FL 33012-7628
Phone (305) 824-0637
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN9399673 | Other | FL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240429001937 | FL | Practitioner - Nurse Practitioner | 9830539543 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4385 W 16TH Ave
Hialeah, FL 33012-7628
Phone (305) 824-0637
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Touch C&C Inc | Current | Accepting new patients |
Locations
4385 W 16th Ave
Hialeah, FL 33012
Phone (305) 824-0637
12905 SW 42nd St
Ste 103
Miami, FL 33175
Phone (305) 824-0637
15100 NW 67th Ave
Ste 203
Miami Lakes, FL 33014
Phone (305) 631-2405
Organizations & group practices 1
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": "1576540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715299200000",
"number": "1982242343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4385 W 16TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330127628",
"telephone_number": "305-824-0637",
"fax_number": "305-824-0628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4385 W 16TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330127628",
"telephone_number": "305-824-0637",
"fax_number": "305-824-0628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "MALLELYN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-17",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11030851",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "RN9399673",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.