Organization Active NPI

Flowly Health Medical Group P a

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1235983826
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FLOWLY HEALTH MEDICAL GROUP P A
Practice address
390 NE 191St St Ste 8264
Miami, FL 33179-3899
Phone
(323) 545-3659
NPI assigned
Apr 11, 2024
Last updated
Jul 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Celine Tien
Title
Mso Ceo
Phone
(760) 889-1132

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X Primary
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

390 NE 191St St Ste 8264
Miami, FL 33179-3899

Mailing address

390 NE 191St St Ste 8264
Miami, FL 33179-3899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20240610003540 FL Part B Supplier - Clinic/Group Practice 4486196102 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL
O20240822002556 MI Part B Supplier - Clinic/Group Practice 4486196102 Receives reassigned benefits from 5 practitioners
Practice locations: Southfield, MI
O20260123001097 NC Part B Supplier - Clinic/Group Practice 4486196102 Receives reassigned benefits from 2 practitioners
Practice locations: Durham, NC

National Provider Directory

National Provider Directory

Locations

390 NE 191st St
Ste 8264
Miami, FL 33179
Phone (323) 545-3659

Practitioners & affiliated clinicians

Practitioners 10

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": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1235983826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 NE 191ST ST STE 8264",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 NE 191ST ST STE 8264",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793899",
            "telephone_number": "323-545-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOWLY HEALTH MEDICAL GROUP P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "TIEN",
        "authorized_official_first_name": "CELINE",
        "authorized_official_title_or_position": "MSO CEO",
        "authorized_official_telephone_number": "760-889-1132"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.