Organization Active NPI

Bright Mind Healthcare Corp

  • Psychiatry Physician
  • Palmetto Bay, FL
National Provider Identifier
1225846967
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BRIGHT MIND HEALTHCARE CORP
Practice address
9849 SW 184TH St
Palmetto Bay, FL 33157-6934
Phone
(786) 644-5400
Fax
(786) 644-5404
NPI assigned
Dec 27, 2024
Last updated
Jun 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Karol Cofino MatosNPI 1720850449
Title
Owner
Phone
(786) 720-0862

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

9849 SW 184TH St
Palmetto Bay, FL 33157-6934

Mailing address

9849 SW 184TH St
Palmetto Bay, FL 33157-6934
Phone (786) 644-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250114000984 FL Part B Supplier - Clinic/Group Practice 7315475639 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

432 SW 8th Ave
Miami, FL 33130
Phone (305) 545-1127

9849 SW 184th St
Palmetto Bay, FL 33157
Phone (786) 644-5400

Practitioners & affiliated clinicians

Practitioners 2

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": "1735257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1225846967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9849 SW 184TH ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331576934",
            "telephone_number": "786-644-5400",
            "fax_number": "786-644-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9849 SW 184TH ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331576934",
            "telephone_number": "786-644-5400",
            "fax_number": "786-644-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT MIND HEALTHCARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-27",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "COFINO MATOS",
        "authorized_official_first_name": "KAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-720-0862"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.