Individual provider Active NPI

Mallelyn Castro, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1982242343
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11030851 Issued in FL
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

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
RN9399673OtherFLLICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Healing Touch Candc IncGroup PAC ID 7214946268, 19 clinicians

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

OrganizationSpecialtyStatusNew patients
Healing Touch C&C Inc CurrentSince Apr 15, 2024 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

Verify at the official NPI Registry.