Integrated Mental Health Specialist LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

INTEGRATED MENTAL HEALTH SPECIALIST LLC

Practice address

2500 NW 79TH Ave Ste 184
Doral, FL 33122-1083

Phone

(305) 898-4533

NPI assigned

Oct 6, 2026

Last updated

Oct 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carmen Foubelo, APRNNPI 1073195202

Title

MGR

Phone

(305) 898-4533

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Carmen Foubelo, NP

  • Family Nurse Practitioner
  • Doral, FL
  • NPI 1073195202
  Authorized official Same address or phone

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1255235883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE STE 184",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE STE 184",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221083",
            "telephone_number": "305-898-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MENTAL HEALTH SPECIALIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "FOUBELO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "305-898-4533",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Doral, FL
• Providers in Doral, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.