Provider Demographics
NPI:1861869125
Name:GARCIA DEL CASTILLO, FELIX LUIS (PHD)
Entity type:Individual
Prefix:DR
First Name:FELIX
Middle Name:LUIS
Last Name:GARCIA DEL CASTILLO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:FELIX
Other - Middle Name:LUIS
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:710 W 168TH ST UNIT NI-12
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3726
Mailing Address - Country:US
Mailing Address - Phone:212-305-9758
Mailing Address - Fax:212-342-1699
Practice Address - Street 1:710 W 168TH ST UNIT NI-12
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3726
Practice Address - Country:US
Practice Address - Phone:212-305-9758
Practice Address - Fax:212-342-1699
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-21
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023895103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical