NPIMap

Organization Active NPI

Riseup Health Group LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cutler Bay, FL
National Provider Identifier
1235813031
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RISEUP HEALTH GROUP LLC
Doing business as
RiseUp Health Group LLC
Practice address
10024 SW 222ND St
Cutler Bay, FL 33190-1563
Phone
(239) 692-2776
NPI assigned
Jun 12, 2023
Last updated
Jun 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
William Torres Carbonell, PMHNPNPI 1154712982
Title
Owner/Manager
Phone
(239) 692-2776

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

10024 SW 222ND St
Cutler Bay, FL 33190-1563

Mailing address

10024 SW 222ND St
Cutler Bay, FL 33190-1563
Phone (239) 692-2776

Other names 1

  • RiseUp Health Group LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230810002771 FL Part B Supplier - Clinic/Group Practice 7719349521 Receives reassigned benefits from 3 practitioners
Practice locations: Cutler Bay, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1235813031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10024 SW 222ND ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901563",
            "telephone_number": "239-692-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 SW 222ND ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901563",
            "telephone_number": "239-692-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISEUP HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "TORRES CARBONELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "239-692-2776",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RiseUp Health Group LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.