NPIMap

Organization Active NPI

Envision Mindcare

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1306615786
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ENVISION MINDCARE
Practice address
3000 Biscayne Blvd Ste 216
Miami, FL 33137-4129
Phone
(786) 220-1969
NPI assigned
Dec 27, 2023
Last updated
Dec 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Randy Warner, MDNPI 1144380056
Title
Owner
Phone
(305) 912-3093

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

3000 Biscayne Blvd Ste 216
Miami, FL 33137-4129

Mailing address

3000 Biscayne Blvd Ste 216
Miami, FL 33137-4129
Phone (786) 220-1969

Other practice location 1

12 SE 7th St Ste 705
Fort Lauderdale, FL 33301-3469
Phone (786) 220-1969

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240129002914 FL Part B Supplier - Clinic/Group Practice 1153774997 Receives reassigned benefits from 11 practitioners
Practice locations: Fort Lauderdale, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

3000 Biscayne Blvd
Ste 216
Miami, FL 33137
Phone (786) 220-1969

602 NE 36th St
Ste 19
Miami, FL 33137
Phone (786) 220-1969

Practitioners & affiliated clinicians

Practitioners 11

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": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1306615786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 BISCAYNE BLVD STE 216",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374129",
            "telephone_number": "786-220-1969",
            "fax_number": "786-217-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BISCAYNE BLVD STE 216",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374129",
            "telephone_number": "786-220-1969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 SE 7th St Ste 705",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333013469",
            "country_code": "US",
            "telephone_number": "786-220-1969",
            "fax_number": "786-217-9604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENVISION MINDCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-912-3093",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Dec 3, 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.