Individual provider Active NPI

Michael Seropyan

  • Psychiatric/Mental Health Nurse Practitioner
  • Hallandale Beach, FL
National Provider Identifier
1386163053
Registry record updated Nov 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11011791 Issued in FL
Practice address
1920 E Hallandale Beach Blvd Ste 901
Hallandale Beach, FL 33009-4726
Phone
(305) 909-6325
NPI assigned
Sep 14, 2017
Last updated
Nov 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11011791 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402269 NY
Registered Nurse 163W00000X 606082 NY

Addresses

Primary practice location

1920 E Hallandale Beach Blvd Ste 901
Hallandale Beach, FL 33009-4726

Mailing address

20505 E Country Club Dr Apt 1838
Aventura, FL 33180-3040
Phone (305) 909-6325

Other practice location 1

2500 E Hallandale Beach Blvd Ste 505
Hallandale Beach, FL 33009-4838
Phone (305) 909-6325

Other practice location 2

1329 E 17th St Ste 1A
Brooklyn, NY 11230-6052
Phone (718) 382-0157

Other practice location 3

17395 N Bay Rd Ste 200
Sunny Isles Beach, FL 33160-3308
Phone (305) 909-6325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171102002006 NY Practitioner - Nurse Practitioner 0143586495 Reassigns benefits to 1 organization
I20250327000613 FL Practitioner - Nurse Practitioner 0143586495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revived Soul Medical PCGroup PAC ID 0749466266, 15 clinicians

Practice addresses (Care Compare)

1329 E 17TH St
Brooklyn, NY 11230-6052
Phone (718) 382-5060

17395 N Bay Rd
Suite 200
Sunny Isles Beach, FL 33160-3308
Phone (305) 909-6325

Merit-based Incentive Payment System (MIPS)

Final score
99.08 of 100Reported as group
Quality
85
Improvement activities
40
Cost
83.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
606082NYMDRegistered Nurse
11011791FLMDPsychiatric/Mental Health Nurse Practitioner
402269NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Seropyan NP in Psychiatry PC Psychiatric/Mental Health CurrentSince Sep 21, 2025 Accepting new patients
Revived Soul Medical PC Psychiatry CurrentSince Oct 1, 2017 Accepting new patients
Modern Approach Psychiatry PA CurrentSince Mar 1, 2025 Accepting new patients

Locations

2500 E Hallandale Beach Blvd
Ste 505
Hallandale Beach, FL 33009
Phone (305) 909-6325

307 Ocean View Ave
Brooklyn, NY 11235
Phone (718) 743-5555

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763251200000",
    "number": "1386163053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20505 E COUNTRY CLUB DR APT 1838",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803040",
            "telephone_number": "305-909-6325",
            "fax_number": "305-909-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E HALLANDALE BEACH BLVD STE 901",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094726",
            "telephone_number": "305-909-6325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 E Hallandale Beach Blvd Ste 505",
            "address_purpose": "LOCATION",
            "city": "Hallandale Beach",
            "state": "FL",
            "postal_code": "330094838",
            "country_code": "US",
            "telephone_number": "305-909-6325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1329 E 17th St Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112306052",
            "country_code": "US",
            "telephone_number": "718-382-0157",
            "fax_number": "718-382-5905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17395 N Bay Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Sunny Isles Beach",
            "state": "FL",
            "postal_code": "331603308",
            "country_code": "US",
            "telephone_number": "305-909-6325",
            "fax_number": "305-909-6826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEROPYAN",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-14",
        "last_updated": "2025-11-16",
        "certification_date": "2025-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11011791",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402269",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "606082",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.