Organization Active NPI

Ao Psychiatric Mental Health Services LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Homestead, FL
National Provider Identifier
1376382069
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
Legal business name
AO PSYCHIATRIC MENTAL HEALTH SERVICES LLC
Practice address
25327 SW 121St Ave
Homestead, FL 33032-3332
Phone
(786) 252-4586
NPI assigned
May 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Anabel RuizNPI 1881373017
Title
NP/Owner
Phone
(786) 252-4586

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
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0808X Primary

Addresses

Primary practice location

25327 SW 121St Ave
Homestead, FL 33032-3332

Mailing address

25327 SW 121St Ave
Homestead, FL 33032-3332
Phone (786) 252-4586

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240624001277 FL Part B Supplier - Clinic/Group Practice 2466995089 Receives reassigned benefits from 1 practitioner
Practice locations: Homestead, FL

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": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1376382069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25327 SW 121ST AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330323332",
            "telephone_number": "786-252-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25327 SW 121ST AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330323332",
            "telephone_number": "786-252-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AO PSYCHIATRIC MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "ANABEL",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "786-252-4586"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.