Castillo, Melissa

Castillo, Melissa is an sole proprietor health care provider with primary practice located at 777 W Putnam Ave Ste 300 , Greenwich CT 06830-5000. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Castillo, Melissa can be contacted via phone (203) 649-8200.

Contact Information

Primary practice address
777 W Putnam Ave Ste 300 Greenwich CT 06830-5000
Phone: (203) 649-8200
Fax: (203) 648-8211
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 003993 Connecticut

Profile Details

NPI number 1548496458
LBN Legal business name Castillo, Melissa
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2009
Last updated Jan 18th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548496458 NPPES
Connecticut MEDICAID 004040655

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