Organization Active NPI

South Florida Psychological Network, LLC

  • Clinical Social Worker
  • Pembroke Pines, FL
National Provider Identifier
1164361291
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOUTH FLORIDA PSYCHOLOGICAL NETWORK, LLC
Practice address
1831 NW 104TH Ave
Pembroke Pines, FL 33026-2354
Phone
(754) 223-9949
NPI assigned
Mar 25, 2026
Last updated
Mar 25, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
RENEW YOUR MIND COUNSELING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Ms. Roxana Y Carmenate, LCSW-QS, MCAPNPI 1861829954
Title
Ceo/Director
Phone
(754) 223-9949

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Clinical Social Worker 1041C0700X NU Primary
Adult Mental Health Clinic/Center 261QM0850X NU

Addresses

Primary practice location

1831 NW 104TH Ave
Pembroke Pines, FL 33026-2354

Mailing address

1831 NW 104TH Ave
Pembroke Pines, FL 33026-2354
Phone (754) 223-9949

National Provider Directory

National Provider Directory
Part of
South Florida Psychological Network LLC

Practitioners & affiliated clinicians

Practitioners 1

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": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1164361291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 NW 104TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330262354",
            "telephone_number": "754-223-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 NW 104TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330262354",
            "telephone_number": "754-223-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA PSYCHOLOGICAL NETWORK, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RENEW YOUR MIND COUNSELING, LLC",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "CARMENATE",
        "authorized_official_first_name": "ROXANA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "754-223-9949",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-QS, MCAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.