Reflections of Mental Health, Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

ME109266 Issued in FL

Legal business name

REFLECTIONS OF MENTAL HEALTH, INC

Practice address

18425 NW 2ND Ave Ste 404B
Miami Gardens, FL 33169-4525

Phone

(305) 549-8100

Fax

(786) 565-3015

NPI assigned

Mar 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Vickki-Ann Samuel, MDNPI 1750541884

Title

President

Phone

(305) 549-8100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 2

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

• Vickki-Ann Shemika Samuel, MD

  • Psychiatry Physician
  • Miami Gardens, FL
  • NPI 1750541884
  Medicare reassignment NPD Authorized official
• Paula Doris Hammond, ATR-BC

  • Mental Health Counselor
  • Miami Gardens, FL
  • NPI 1639739444
  NPD (past)

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285900795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 NW 2ND AVE STE 404B",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694525",
            "telephone_number": "305-549-8100",
            "fax_number": "786-565-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 NW 2ND AVE STE 404B",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694525",
            "telephone_number": "305-549-8100",
            "fax_number": "786-565-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTIONS OF MENTAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "VICKKI-ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-549-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "ME109266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rd Service Group Corp
• Reciprocate 1906 LLC
• Recoop Nurse Registry LLC
• Connie Reese-Walker
• Emerald Roshada Reese, LCSW
• Ismarys Regal Gonzalez
• Rehab Independence
• Jennyre Reid
• Anllileydi Reinoso
• Renew Reentry House LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.