Individual provider Active NPI

Mamatha Cheong, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1205647666
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11037187 Issued in FL
Practice address
9084 NW 23Rd PL
Coral Springs, FL 33065-5103
Phone
(917) 353-2259
NPI assigned
Jan 15, 2025
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11037187 FL Primary

Addresses

Primary practice location

9084 NW 23Rd PL
Coral Springs, FL 33065-5103

Mailing address

9084 NW 23Rd PL
Coral Springs, FL 33065-5103
Phone (917) 353-2259

Other practice location 1

4700 Millenia Blvd Ste 500
Orlando, FL 32839-6019
Phone (813) 467-6111

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250514001517 FL Practitioner - Nurse Practitioner 8729506779 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prestige Recovery and Suboxone Clinic LLCGroup PAC ID 7416315882, 5 clinicians
Thrive Behavioral Sciences- Orlando LLCGroup PAC ID 9739420654, 35 clinicians

Practice addresses (Care Compare)

3800 W Broward Blvd
Suite 101
Fort Lauderdale, FL 33312-1018
Phone (954) 496-2681

4700 Millenia Blvd
Suite 500
Orlando, FL 32839-6019
Phone (813) 277-4571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11037187FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Behavioral Sciences Orlando LLC Single Specialty CurrentSince Sep 29, 2025 Accepting new patients
Prestige Recovery and Suboxone Clinic LLC Single Specialty CurrentSince Mar 12, 2025 Accepting new patients
The Palms Health LLC Single Specialty CurrentSince Aug 26, 2025 Accepting new patients
Prestige Clinicians LLC Single Specialty CurrentSince Mar 12, 2025 Accepting new patients
Peace Healing and Wellness LLC Single Specialty CurrentSince Mar 13, 2025 Accepting new patients

Locations

1650 S Dixie Hwy
Ste 203
Boca Raton, FL 33432
Phone (561) 576-3074

3800 W Broward Blvd
Ste 101
Ft Lauderdale, FL 33312
Phone (954) 440-0983

4700 Millenia Blvd
Ste 500
Orlando, FL 32839
Phone (813) 277-4571

5510 N Hesperides St
Tampa, FL 33614
Phone (727) 418-2567

5405 Okeechobee Blvd
Ste 300
West Palm Beach, FL 33417
Phone (561) 838-7174

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23897/brand/1/csg/1/fhir/r4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1205647666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9084 NW 23RD PL",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655103",
            "telephone_number": "917-353-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9084 NW 23RD PL",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655103",
            "telephone_number": "917-353-2259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Millenia Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328396019",
            "country_code": "US",
            "telephone_number": "813-467-6111",
            "fax_number": "813-467-6013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEONG",
        "first_name": "MAMATHA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11037187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.