Organization Active NPI

Psyche Harmony Group, LLC.

  • Psychiatry Physician
  • Coral Gables, FL
National Provider Identifier
1336902386
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PSYCHE HARMONY GROUP, LLC.
Practice address
2100 Ponce de Leon Blvd Ste 1240
Coral Gables, FL 33134-5215
Phone
(305) 987-1007
NPI assigned
Feb 2, 2024
Last updated
Mar 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Manuel D. GonzalezNPI 1356584361
Title
MD
Phone
(305) 987-1007

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

2100 Ponce de Leon Blvd Ste 1240
Coral Gables, FL 33134-5215

Mailing address

2100 Ponce de Leon Blvd Ste 1240
Coral Gables, FL 33134-5215
Phone (305) 987-1007

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240429000550 FL Part B Supplier - Clinic/Group Practice 7315387081 Receives reassigned benefits from 2 practitioners
Practice locations: Coral Gables, FL

National Provider Directory

National Provider Directory

Locations

2100 Ponce de Leon Blvd
Ste 1240
Coral Gables, FL 33134
Phone (305) 987-1007

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 8

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": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1336902386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 PONCE DE LEON BLVD STE 1240",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345215",
            "telephone_number": "305-987-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 PONCE DE LEON BLVD STE 1240",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345215",
            "telephone_number": "305-987-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHE HARMONY GROUP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "305-987-1007"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.