Organization Active NPI

Brain Wellness and Mental Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hialeah, FL
National Provider Identifier
1336084706
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BRAIN WELLNESS AND MENTAL HEALTH LLC
Practice address
5705 W 12TH LN
Hialeah, FL 33012-2266
Phone
(786) 778-0968
NPI assigned
Apr 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Mr. Junior Manuel Peralta Pena, PMHNP-BC, FNP-BC,MSNNPI 1487328910
Title
Nurse Practitioner
Phone
(786) 778-0968

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5705 W 12TH LN
Hialeah, FL 33012-2266

Mailing address

5705 W 12TH LN
Hialeah, FL 33012-2266
Phone (786) 778-0968

National Provider Directory

National Provider Directory

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": "1776816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1336084706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 W 12TH LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122266",
            "telephone_number": "786-778-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 W 12TH LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122266",
            "telephone_number": "786-778-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN WELLNESS AND MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "PERALTA PENA",
        "authorized_official_first_name": "JUNIOR",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "786-778-0968",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMHNP-BC, FNP-BC,MSN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.