Active NPI
Im Wellness Center,LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
National Provider Identifier
1366231995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- IM WELLNESS CENTER,LLC
- Practice address
- 22339 SW 112TH Ave Unit C
Miami, FL 33170-6543 - Phone
- (786) 701-9908
- Fax
- (305) 574-9844
- NPI assigned
- May 1, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Iraisy Mendez, PMHNP
- Title
- Pmhnp/Owner
- Phone
- (786) 332-9540
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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | |||
| Adult Medicine Physician | 207QA0505X | |||
| Psychiatry Physician | 2084P0800X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Clinic/Center | 261Q00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
22339 SW 112TH Ave Unit C
Miami, FL 33170-6543
Mailing address
22339 SW 112TH Ave Unit C
Miami, FL 33170-6543
Phone (786) 701-9908
Other names 1
- IM WELLNESS CENTER,LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7700 N Kendall Dr
Ste 807H
Miami, FL 33156
22339 SW 112th Ave
#C
Miami, FL 33170
Phone (786) 332-9540
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Homestead, FL
- NPI 1013628833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784851200000",
"number": "1366231995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22339 SW 112TH AVE UNIT C",
"city": "MIAMI",
"state": "FL",
"postal_code": "331706543",
"telephone_number": "786-701-9908",
"fax_number": "305-574-9844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22339 SW 112TH AVE UNIT C",
"city": "MIAMI",
"state": "FL",
"postal_code": "331706543",
"telephone_number": "786-701-9908",
"fax_number": "305-574-9844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IM WELLNESS CENTER,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-01",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A",
"authorized_official_last_name": "MENDEZ",
"authorized_official_first_name": "IRAISY",
"authorized_official_title_or_position": "PMHNP/OWNER",
"authorized_official_telephone_number": "786-332-9540",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "IM WELLNESS CENTER,LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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- Im Health Services LLC
- Im Orthopedics & General Medicine Inc
- Katherin Imacha, RBT-24-330019
- Imae Medical Solutions LLC
- Image of South Miami Inc.
- Imaginaction Imaging Solutions LLC
- Imagination Pediatrics Therapy Center L.L.L.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.