Organization Active NPI

Mind Path Wellness

  • Adult Mental Health Clinic/Center
  • Pembroke Pines, FL
National Provider Identifier
1023946787
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MIND PATH WELLNESS
Practice address
11236 NW 14TH CT
Pembroke Pines, FL 33026-2627
Phone
(772) 475-4037
NPI assigned
May 12, 2026
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Ann Rodriguez Garcia, DNP, PMHNP-BCNPI 1265306161
Title
Owner
Phone
(954) 703-9603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

11236 NW 14TH CT
Pembroke Pines, FL 33026-2627

Mailing address

11236 NW 14TH CT
Pembroke Pines, FL 33026-2627
Phone (954) 703-9603

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1023946787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11236 NW 14TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330262627",
            "telephone_number": "954-703-9603",
            "fax_number": "954-212-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11236 NW 14TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330262627",
            "telephone_number": "772-475-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND PATH WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_middle_name": "RODRIGUEZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-703-9603",
        "authorized_official_credential": "DNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.