DR. CARLOS S CASTILLO (NPI# 1659358620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659358620 |
| Entity Type | Individual |
| Full Name | DR. CARLOS S CASTILLO |
| Credential | MD |
| Practice Address |
301 E Saint Joseph St Green Bay WI 54301-2241 |
| Practice Telephone | 9204333630 |
| Mailing Telephone | 9204333630 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2011-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
49029 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | WISCONSIN MEDICAID | 34832500 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760835730 | Carlos Castillo | Nurse Practitioner | 801 Monterey St Ste 205, Coral Gables, FL 33134 | 2016-07-14 |
| 1255695193 | Carlos Castillo | Specialist | 13111 Kew Gardens Rd Apt 4c, Richmond Hill, NY 11418-1941 | 2012-06-26 |
| 1922095884 | Carlos M Castillo | Internal Medicine | 7751 Baymeadows Rd E Ste 205, Jacksonville, FL 32256 | 2005-10-05 |
| 1649735911 | Carlos Porfirio Castillo | Counselor | 1519 E Bustamante St Ste B, Laredo, TX 78041-5305 | 2019-01-31 |
| 1487087763 | Carlos Rene Castillo | Physical Therapy Assistant | 1112 S 48th St, Springdale, AR 72762-5848 | 2013-08-09 |
| 1881946168 | Carlos Tom Castillo | Counselor | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2012-10-10 |
| 1427221597 | Carlos Y Castillo | Psychologist | 895 Blue Hill Ave, Dorchester Center, MA 02124-2902 | 2008-04-09 |
| 1003999111 | Carlos Luis Castillo | Counselor | 3740 Colony Dr Ste 125, San Antonio, TX 78230-2365 | 2006-10-23 |
| 1265527659 | Carlos R Castillo | Social Worker | 10 Missle Ave, 5mdos/sgohp, Minot Afb, ND 58705-5003 | 2006-10-03 |
| Street Address |
301 E SAINT JOSEPH ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-2241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790775450 | Derek Carl Carlson | Psychiatry & Neurology | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2005-10-25 |
| 1407486541 | Gabrielle Cassandra Jochman | Social Worker | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2020-01-16 |
| 1457996910 | Jesse Frederick Peterson | Psychologist | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2019-11-08 |
| 1528500626 | Yasleny Rodriguez-castillo | Nurse Practitioner | 301 E Saint Joseph St, Green Bay, WI 54301 | 2016-11-07 |
| 1992156210 | Kari Lynn Mahlik | Nurse Practitioner | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2016-06-28 |
| 1710357900 | Erika Susanne Mangin | Registered Nurse | 301 E Saint Joseph St, Green Bay, WI 54301 | 2015-09-30 |
| 1972970572 | Kim Marie Smith | Counselor | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2015-08-31 |
| 1104200286 | Meghan A Thompson | Counselor | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2015-07-17 |
| 1720497118 | Mary Jo Vanden Wymelenberg | Counselor | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2014-08-11 |
| 1811308836 | Ainsley E. Blum | Counselor | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2014-05-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
| 1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| Find all providers in zip 54301 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083871503 | Anima Family Counseling, LLC | Psychiatry & Neurology | 2475 University Ave, Suite A, Green Bay, WI 54302-5099 | 2008-05-21 |
| 1073662938 | Shelley Boehm Mattia | Psychiatry & Neurology | 428 Doty Street, Green Bay, WI 54301 | 2007-01-09 |
| 1386750115 | Peter M Fischer | Psychiatry & Neurology | 1351 Ontario Rd, Green Bay, WI 54311-8302 | 2006-08-22 |
| 1043295256 | George D Soncrant | Psychiatry & Neurology | 3000 Riverside Dr, Suite 180, Green Bay, WI 54301-1653 | 2005-12-09 |
| 1295226512 | Pyramid Psychiatric Care, LLC | Psychiatry & Neurology | 2475 University Ave Ste A, Green Bay, WI 54302-5099 | 2018-05-22 |
| 1861993172 | Sbh-green Bay, LLC | Psychiatry & Neurology | 1351 Ontario Rd, Green Bay, WI 54311-8302 | 2018-02-22 |
| 1629513973 | Verstehen, LLC | Psychiatry & Neurology | 1351 Ontario Rd, Green Bay, WI 54311-8302 | 2016-12-22 |
| 1922556778 | Sbh-green Bay, LLC | Psychiatry & Neurology | 1351 Ontario Rd, Green Bay, WI 54311 | 2016-09-21 |
| 1033406038 | Emily R Rademacher | Psychiatry & Neurology | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2011-06-29 |
| 1457662249 | David M Mcmahon | Psychiatry & Neurology | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2010-06-25 |
| Find all providers in GREEN BAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.