Organization Active NPI

Genesis Wellness Support Corp

  • Case Management Agency
  • Cutler Bay, FL
National Provider Identifier
1235993155
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
GENESIS WELLNESS SUPPORT CORP
Practice address
10700 Caribbean Blvd Ste 214
Cutler Bay, FL 33189-1233
Phone
(786) 207-1151
Fax
(786) 221-2834
NPI assigned
Feb 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Yiscel Maria M Pascual Bermudez, CBHCMS
Title
Owner
Phone
(786) 207-1151

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Case Management Agency 251B00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

10700 Caribbean Blvd Ste 214
Cutler Bay, FL 33189-1233

Mailing address

9333 SW 227TH St Unit 1
Cutler Bay, FL 33190-1947
Phone (786) 740-0516

National Provider Directory

National Provider Directory

Locations

12651 S Dixie Hwy
Ste 309
Pinecrest, FL 33156
Phone (786) 399-3810

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1235993155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9333 SW 227TH ST UNIT 1",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901947",
            "telephone_number": "786-740-0516",
            "fax_number": "786-221-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 CARIBBEAN BLVD STE 214",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331891233",
            "telephone_number": "786-207-1151",
            "fax_number": "786-221-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS WELLNESS SUPPORT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "PASCUAL BERMUDEZ",
        "authorized_official_first_name": "YISCEL MARIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-207-1151",
        "authorized_official_credential": "CBHCMS"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 23, 2026; 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.