Active NPI
Psych Qa Services Inc Dba Renew Mind and Wellness
- Psychiatric/Mental Health Nurse Practitioner
- Miami, FL
National Provider Identifier
1053289165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- PSYCH QA SERVICES INC DBA RENEW MIND AND WELLNESS
- Practice address
- 7765 SW 87TH Ave Ste 105
Miami, FL 33173-2535 - Phone
- (754) 332-4395
- NPI assigned
- Oct 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katheryn Fernandez Paul, APRN
- Title
- President
- Phone
- (754) 332-4395
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
7765 SW 87TH Ave Ste 105
Miami, FL 33173-2535
Mailing address
7765 SW 87TH Ave Ste 105
Miami, FL 33173-2535
Phone (786) 558-4129
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129216600 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
7765 SW 87th Ave
Ste 105
Miami, FL 33173
Phone (305) 274-0808
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Miami, FL
- NPI 1902116007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773360000000",
"number": "1053289165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7765 SW 87TH AVE STE 105",
"city": "MIAMI",
"state": "FL",
"postal_code": "331732535",
"telephone_number": "786-558-4129",
"fax_number": "949-593-8808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7765 SW 87TH AVE STE 105",
"city": "MIAMI",
"state": "FL",
"postal_code": "331732535",
"telephone_number": "754-332-4395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCH QA SERVICES INC DBA RENEW MIND AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-29",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A",
"authorized_official_last_name": "FERNANDEZ PAUL",
"authorized_official_first_name": "KATHERYN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "754-332-4395",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129216600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.