Organization Active NPI

Mind Body & Soul Mental Health Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami Gardens, FL
National Provider Identifier
1396654307
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MIND BODY & SOUL MENTAL HEALTH SERVICES, LLC
Practice address
19553 NW 2ND Ave
Miami Gardens, FL 33169-3300
Phone
(305) 944-1516
NPI assigned
Sep 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Yolande Joseph
Title
Owner
Phone
(786) 413-7706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

19553 NW 2ND Ave
Miami Gardens, FL 33169-3300

Mailing address

19553 NW 2ND Ave
Miami Gardens, FL 33169-3300
Phone (786) 213-8490

NPI Registry JSON

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

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1396654307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19553 NW 2ND AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331693300",
            "telephone_number": "786-213-8490",
            "fax_number": "786-629-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19553 NW 2ND AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331693300",
            "telephone_number": "305-944-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY & SOUL MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "YOLANDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-413-7706"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.