Organization Active NPI

Systemic Wellness

  • Case Management Agency
  • Miami, FL
National Provider Identifier
1164801866
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SYSTEMIC WELLNESS
Practice address
11025 SW 84TH St
Cottage 12
Miami, FL 33173-3857
Phone
(786) 436-1984
Fax
(305) 320-4001
NPI assigned
May 27, 2015
Last updated
May 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Authorized official

Name
Maria Gonzalez, LMFT
Title
Owner
Phone
(786) 436-1984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X FL Primary

Addresses

Primary practice location

11025 SW 84TH St
Cottage 12
Miami, FL 33173-3857

Mailing address

11025 SW 84TH St
Cottage 12
Miami, FL 33173-3857
Phone (786) 436-1984

National Provider Directory

National Provider Directory

Locations

11025 SW 84th St
Ste 12
Miami, FL 33173
Phone (786) 534-8080

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1164801866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11025 SW 84TH ST",
            "address_2": "COTTAGE 12",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733857",
            "telephone_number": "786-436-1984",
            "fax_number": "305-320-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11025 SW 84TH ST",
            "address_2": "COTTAGE 12",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733857",
            "telephone_number": "786-436-1984",
            "fax_number": "305-320-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYSTEMIC WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-436-1984",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 27, 2015; 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.