Resilient Mind Psychiatry & Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

RESILIENT MIND PSYCHIATRY & WELLNESS LLC

Practice address

1910 NW 78TH Ter
Pembroke Pines, FL 33024-0910

Phone

(786) 371-4491

NPI assigned

May 23, 2024

Last updated

May 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daile BortnerNPI 1518710284

Title

Onwer

Phone

(786) 371-4491

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Daile Bortner, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Pembroke Pines, FL
  • NPI 1518710284
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1356180723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 NW 78TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330240910",
            "telephone_number": "786-371-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 NW 78TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330240910",
            "telephone_number": "786-371-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT MIND PSYCHIATRY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "BORTNER",
        "authorized_official_first_name": "DAILE",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "786-371-4491"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.