Organization Active NPI

Medi Nurse Behavioral Solutions Inc

  • Professional Counselor
  • Miami, FL
National Provider Identifier
1336199447
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MEDI NURSE BEHAVIORAL SOLUTIONS INC
Practice address
6175 NW 167TH St
Suite G-15
Miami, FL 33015-4339
Phone
(305) 824-8880
Fax
(954) 485-4452
NPI assigned
May 11, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Charlene M Grecsek, EDD, LMHCNPI 1619149432
Title
Program Director
Phone
(954) 484-0051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X FL Primary

Addresses

Primary practice location

6175 NW 167TH St
Suite G-15
Miami, FL 33015-4339

Mailing address

2800 W Oakland Park Blvd
Suite 206
Oakland Park, FL 33311-1370
Phone (954) 484-0051

National Provider Directory

National Provider Directory

Locations

2800 W Oakland Park Blvd
Ste 206
Oakland Park, FL 33311

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1336199447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W OAKLAND PARK BLVD",
            "address_2": "SUITE 206",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111370",
            "telephone_number": "954-484-0051",
            "fax_number": "954-485-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6175 NW 167TH ST",
            "address_2": "SUITE G-15",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "330154339",
            "telephone_number": "305-824-8880",
            "fax_number": "954-485-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI NURSE BEHAVIORAL SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GRECSEK",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "954-484-0051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "FL",
            "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 Jul 21, 2022; 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.