Organization Active NPI

Psych Qa Services Inc Dba Renew Mind and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1053289165
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Katheryn Fernandez Paul, APRNNPI 1902116007
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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
129216600MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.