Active NPI
Maikel Echemendia, RN
- Psychiatric/Mental Health Nurse Practitioner
- North Miami, FL
National Provider Identifier
1093587776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11035048
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN9593851 | FL | MD | Registered Nurse |
| 11035048 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Behavioral Center, Inc | Current | Accepting new patients | |
| Cem Medical Services Corp | Current | Accepting new patients | |
| Bee Well Centers for Anxiety and Depression | Psychiatric/Mental Health | Current | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Miami, FL
- NPI 1780563072
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hialeah, FL
- NPI 1811778624
-
- Community/Behavioral Health Agency
- Doral, FL
- NPI 1912334863
-
- Primary Care Clinic/Center
- North Miami, FL
- NPI 1235838749
-
- Psychiatry Physician
- Cape Coral, FL
- NPI 1194506071
-
- Psychiatry Physician
- Miami, FL
- NPI 1881246395
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.