Individual provider Active NPI

Maikel Echemendia, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • North Miami, FL
National Provider Identifier
1093587776
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11035048 Issued in FL
Practice address
11930 NE 19TH Dr Apt 2
North Miami, FL 33181-2829
Phone
(305) 799-7676
NPI assigned
Oct 25, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9593851 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11035048 FL Primary

Addresses

Primary practice location

11930 NE 19TH Dr Apt 2
North Miami, FL 33181-2829

Mailing address

11930 NE 19TH Dr Apt 2
North Miami, FL 33181-2829
Phone (305) 799-7676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240921000176 FL Practitioner - Nurse Practitioner 7517408206 Reassigns benefits to 3 organizations
Practice locations: North Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpha Therapy Center IncGroup PAC ID 3577900661, 3 clinicians

Practice addresses (Care Compare)

Miami, FL 33173
Phone (305) 799-7676

1840 W 49TH St
Suite 515
Hialeah, FL 33012-2950
Phone (305) 603-6202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9593851FLMDRegistered Nurse
11035048FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Behavioral Center, Inc CurrentSince Jun 14, 2025 Accepting new patients
Cem Medical Services Corp CurrentSince Oct 29, 2023 Accepting new patients
Bee Well Centers for Anxiety and Depression Psychiatric/Mental Health CurrentSince Oct 12, 2025 Accepting new patients
Medical Prestige Services Corp Past Accepting new patients
Serenity Wellness Institute Corp. Past Accepting new patients

Locations

1905 NW 82nd Ave
Doral, FL 33126
Phone (305) 406-9585

7061 Cypress Rd
Ste 101102
Plantation, FL 33317
Phone (954) 372-0603

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1093587776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11930 NE 19TH DR APT 2",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812829",
            "telephone_number": "305-799-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11930 NE 19TH DR APT 2",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812829",
            "telephone_number": "305-799-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEMENDIA",
        "first_name": "MAIKEL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-25",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9593851",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11035048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.