Fenix Mental Health Group LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FENIX MENTAL HEALTH GROUP LLC

Practice address

1800 SW 27TH Ave Ste 505
Miami, FL 33145-2400

Phone

(786) 633-6362

NPI assigned

May 30, 2021

Last updated

Nov 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dunia Reyes HernandezNPI 1548807845

Title

President

Phone

(786) 542-9914

Specialties & licenses 1

Addresses

Tax ID family

Fenix Mental Health Group LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Fenix Mental Health Group LLC

  • Case Management Agency
  • Miami, FL
  • NPI 1073285276
  NPD tax ID
• Fenix Mental Health Group LLC

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1104383181
  NPD tax ID

Locations

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.

• Dunia Reyes Hernandez, CBHCM

  • Social Worker
  • Miami, FL
  • NPI 1548807845
  Authorized official Same address or phone

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

{
    "created_epoch": "1622332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1205402344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SW 27TH AVE STE 505",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452400",
            "telephone_number": "786-633-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SW 27TH AVE STE 505",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452400",
            "telephone_number": "786-633-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENIX MENTAL HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-30",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "REYES HERNANDEZ",
        "authorized_official_first_name": "DUNIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-542-9914"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fenix Communications Inc (UM Diagnostic Service)
• Fenix Health Clinic LLC
• Fenix Medical Group Inc
• Fenix Mental Health Group LLC
• Fenix Mental Health Group LLC
• Fenix Physical Rehab Center, Inc. (Fenix Physical Rehab Center)
• Fenix Rehabilitation Inc
• Fenix Wellness Community Foundation, LLC
• Fenix Wellness, LLC
• Fenix Wellness, LLC

• Community/Behavioral Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.