Healthcare Provider Details

I. General information

NPI: 1821905928
Provider Name (Legal Business Name): CASTLE BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 HYMER ST APT B
PROVIDENCE RI
02908-1316
US

IV. Provider business mailing address

24 HYMER ST # B
PROVIDENCE RI
02908-1316
US

V. Phone/Fax

Practice location:
  • Phone: 401-642-5634
  • Fax:
Mailing address:
  • Phone: 401-642-5634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: SHERNALI CASTLE
Title or Position: CEO
Credential: FOUNDER
Phone: 401-837-3296