JESSICA CASTILLO (NPI# 1700262854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700262854 |
| Entity Type | Individual |
| Full Name | JESSICA CASTILLO |
| Credential | NP, RN |
| Practice Address |
1841 Brentwood Rd Brentwood NY 11717-4625 |
| Practice Telephone | 6318537300 |
| Mailing Telephone | 6318537300 |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2016-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
401867 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366068314 | Jessica Castillo | Registered Nurse | 1780 Sophia Way, Paso Robles, CA 93446-5425 | 2020-06-24 |
| 1376009910 | Jessica Margaret Castillo | Student in an Organized Health Care Education/Training Program | 31 Ave Los Maestros, Mayaguez, PR 00682-5948 | 2019-02-19 |
| 1013403187 | Jessica Castillo | Case Manager/Care Coordinator | 3182 W 86th St, Cleveland, OH 44102-4939 | 2018-07-02 |
| 1669878716 | Jessica Castillo | Registered Nurse | 179 Shinnecock Ave, Mastic, NY 11950-4307 | 2014-11-17 |
| 1265064158 | Jessica Castillo | Case Manager/Care Coordinator | 11601 S Western Ave, Los Angeles, CA 90047-5006 | 2020-02-07 |
| 1396375010 | Jessica Castillo | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-01-22 |
| 1659849818 | Jessica Castillo | Occupational Therapy Assistant | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2018-11-06 |
| 1154897825 | Jessica Jeanette Castillo | Specialist/Technologist | 7777 Warren Pkwy Ste 380, Frisco, TX 75034-6549 | 2018-10-19 |
| 1952806960 | Jessica Castillo | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-03-30 |
| 1255847125 | Jessica Castillo | Behavior Technician | 7261 W Charleston Blvd, Las Vegas, NV 89117-1636 | 2017-12-14 |
| Street Address |
1841 BRENTWOOD RD |
| City | BRENTWOOD |
| State | NY |
| Zip Code | 11717-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851309694 | Patricia Marie Hodge | Registered Nurse | 1841 Brentwood Rd, Brentwood, NY 11717-4625 | 2006-08-04 |
| 1346731270 | Jennifer Enith Simmons | Social Worker | 1841 Brentwood Rd, Brentwood, NY 11717-4625 | 2018-05-26 |
| 1346612488 | Tessa Rais Van Florcke | Student in an Organized Health Care Education/Training Program | 1841 Brentwood Rd, Brentwood, NY 11717-4625 | 2015-10-28 |
| 1013357946 | Joann Marie Basile | Nurse Practitioner | 1841 Brentwood Rd, Brentwood, NY 11717-4625 | 2013-06-25 |
| 1578809422 | Barbara Albano-hickman | Social Worker | 1841 Brentwood Rd, Brentwood, NY 11717-4625 | 2012-12-21 |
| 1457634800 | Matthew Cohen | Student in an Organized Health Care Education/Training Program | 1841 Brentwood Rd, Brentwood, NY 11717-4625 | 2011-09-22 |
| 1366639098 | Genieve Gayle-thomas | Student in an Organized Health Care Education/Training Program | 1841 Brentwood Rd, Brentwood, NY 11717-4625 | 2007-09-26 |
| 1649481219 | Intensive Case Management Program | Case Management | 1841 Brentwood Rd, Brentwood, NY 11717-4625 | 2007-05-25 |
| 1821141029 | Shirley Cobb | Case Management | 1841 Brentwood Rd, Brentwood, NY 11717-4625 | 2007-01-19 |
| 1194874735 | Evelyn Cortes | Case Manager/Care Coordinator | 1841 Brentwood Rd, Brentwood, NY 11717-4625 | 2007-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648009 | Angela R Davenport | Nurse Practitioner | 7110 Crossroads Blvd, Brentwood, TN 37027-2826 | 2020-08-05 |
| 1821649534 | Lila Kate Homan | Nurse Practitioner | 231 Wilson Pike Cir Ste 202, Brentwood, TN 37027-5286 | 2019-09-24 |
| 1447710132 | Renewed Hope Behavioral Health, LLC | Nurse Practitioner | 1604 Westgate Cir Ste 230, Brentwood, TN 37027-8074 | 2019-03-20 |
| 1750520169 | Mary Emma Carter | Nurse Practitioner | 1624 Westgate Cir Ste 100, Brentwood, TN 37027 | 2009-02-09 |
| 1306027040 | Margo Fortney | Nurse Practitioner | 317 Seven Springs Way Ste 201, Brentwood, TN 37027-4511 | 2007-11-23 |
| 1881053981 | Pamela Kissoondhan | Nurse Practitioner | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2016-02-17 |
| 1013357946 | Joann Marie Basile | Nurse Practitioner | 1841 Brentwood Rd, Brentwood, NY 11717-4625 | 2013-06-25 |
| 1336446103 | Edward D. Massey | Nurse Practitioner | 278 Franklin Rd, Suite 240, Brentwood, TN 37027-3208 | 2011-02-14 |
| 1386729689 | Susan M Adams | Nurse Practitioner | 343 Franklin Rd, Suite 108, Brentwood, TN 37027-5213 | 2006-10-26 |
| 1720170426 | Ximena G Weedon | Nurse Practitioner | 1841 Brentwood Rd, Brentwood, NY 11717-4625 | 2006-09-29 |
| Find all providers in BRENTWOOD | ||||
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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.