Mae Mental Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MAE MENTAL WELLNESS LLC

Practice address

2054 Vista Pkwy Ste 400
West Palm Beach, FL 33411-6742

Phone

(561) 231-0233

Fax

(561) 203-3447

NPI assigned

Jul 12, 2023

Organization subpart

No

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

Authorized official

Name

Erin A Lutchkus, APRN, PMHNP-BCNPI 1669046363

Title

Ceo

Phone

(561) 908-3076

Specialties & licenses 1

Addresses

Other names 1

• Mae Mental Wellness Other name

Medicare fee-for-service enrollment

Enrolled in FL, CO2 enrollments

Enrollment records 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erin Ann Lutchkus

  • Psychiatric/Mental Health Nurse Practitioner
  • Denver, CO
  • NPI 1669046363

  FL

  Medicare reassignment Care Compare group NPD Authorized official
• Carol Lynn Milliken

  • Psychiatric/Mental Health Nurse Practitioner
  • West Palm Beach, FL
  • NPI 1578343661
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1407535073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 VISTA PKWY STE 400",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334116742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 VISTA PKWY STE 400",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334116742",
            "telephone_number": "561-231-0233",
            "fax_number": "561-203-3447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Wazee St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802022526",
            "country_code": "US",
            "telephone_number": "561-231-0233",
            "fax_number": "561-203-3447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAE MENTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "LUTCHKUS",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-908-3076",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "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": [
        {
            "organization_name": "Mae Mental Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mae Mental Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Altavious Deon Madison
• Maria Karla Madrigal Escalona
• Yadirey Madrigal Salabarria
• Lizandra Madrigal
• Camila Madruga
• Kathy E Maenza
• Alexandra Coelho Magalhaes
• Nancy Magallanes
• Magimura LLC
• Jessica Leigh Magnuson, FNP-BC

• Psychiatric/Mental Health Nurse Practitioner in West Palm Beach, FL
• Providers in West Palm Beach, 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 Aug 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.