Healthcare Provider Details

I. General information

NPI: 1821989856
Provider Name (Legal Business Name): UD HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2025
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 DISCOVERY BLVD 6TH FLOOR, STAR TOWER
NEWARK DE
19713-1325
US

IV. Provider business mailing address

100 DISCOVERY BLVD STE 727
NEWARK DE
19713-1325
US

V. Phone/Fax

Practice location:
  • Phone: 302-831-3000
  • Fax:
Mailing address:
  • Phone: 302-831-2705
  • Fax: 302-831-0367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: JED CASTELLUCCI
Title or Position: CHIEF CLINICAL OPERATING OFFICER
Credential:
Phone: 302-831-2705