Organization Active NPI

Monarch Mental Health & Wellness Services, LLC

  • Medical Physician Assistant
  • Miami Gardens, FL
National Provider Identifier
1033729843
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
MONARCH MENTAL HEALTH & WELLNESS SERVICES, LLC
Practice address
648 NW 183Rd Street
Miami Gardens, FL 33169-3331
Phone
(954) 399-6004
Fax
(954) 206-0500
NPI assigned
Aug 6, 2020
Last updated
Aug 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Authorized official

Name
Mrs. Claudenie Mondesir, PA-CNPI 1952715682
Title
Physician Assistant
Phone
(954) 560-7124

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
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X Primary

Addresses

Primary practice location

648 NW 183Rd Street
Miami Gardens, FL 33169-3331

Mailing address

401 E Las Olas Blvd Ste 130-146
Fort Lauderdale, FL 33301-2210
Phone (954) 560-7124

Other identifiers 2

IdentifierTypeStateIssuer
1952715682OtherFLNPI
1447695184OtherFLNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Info@monarchhws.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230522003110 FL Part B Supplier - Clinic/Group Practice 8628434362 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Gardens, FL

National Provider Directory

National Provider Directory

Locations

401 E Las Olas Blvd
Ste 130146
Fort Lauderdale, FL 33301

648 NW 183Rd St
Miami Gardens, FL 33169
Phone (954) 399-6004

648 NW 183Rd St
Miami Gardens, FL 33169
Phone (954) 399-6004

Practitioners & affiliated clinicians

Practitioners 2

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": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1033729843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E LAS OLAS BLVD STE 130-146",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012210",
            "telephone_number": "954-560-7124",
            "fax_number": "954-206-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 NW 183RD STREET",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331693331",
            "telephone_number": "954-399-6004",
            "fax_number": "954-206-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH MENTAL HEALTH & WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "MONDESIR",
        "authorized_official_first_name": "CLAUDENIE",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "954-560-7124",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1952715682",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1447695184",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Info@monarchhws.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "648 NW 183rd Street",
            "city": "Miami Gardens",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331693331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.