Organization Active NPI

Psychawareness, Inc.

  • Community/Behavioral Health Agency
  • North Miami Beach, FL
National Provider Identifier
1184823908
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH 7527 Issued in FL
Legal business name
PSYCHAWARENESS, INC.
Practice address
633 NE 167TH St Ste 522
North Miami Beach, FL 33162-2443
Phone
(305) 655-1108
Fax
(305) 655-1139
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Dr. Cornelia Wenze, ED.D.
Title
Ceo
Phone
(305) 655-1108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH 7527 FL Primary

Addresses

Primary practice location

633 NE 167TH St Ste 522
North Miami Beach, FL 33162-2443

Mailing address

633 NE 167TH St Ste 522
North Miami Beach, FL 33162-2443
Phone (305) 655-1108

National Provider Directory

National Provider Directory

Locations

633 NE 167th St
Ste 522
North Miami Beach, FL 33162
Phone (305) 655-1108

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1184823908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 NE 167TH ST STE 522",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622443",
            "telephone_number": "305-655-1108",
            "fax_number": "305-655-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 NE 167TH ST STE 522",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622443",
            "telephone_number": "305-655-1108",
            "fax_number": "305-655-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHAWARENESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "WENZE",
        "authorized_official_first_name": "CORNELIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-655-1108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH 7527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.