Organization Active NPI

Mental Health Near Me Professional Limited Liability Company

  • Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1407683907
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MENTAL HEALTH NEAR ME PROFESSIONAL LIMITED LIABILITY COMPANY
Practice address
200 S. Andrews Ave,
Suite #504
Fort Lauderdale, FL 33301
Phone
(954) 329-1464
NPI assigned
Sep 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Ana PatsiornikNPI 1831572866
Title
Owner
Phone
(954) 732-2327

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

200 S. Andrews Ave,
Suite #504
Fort Lauderdale, FL 33301

Mailing address

1314 E Las Olas Blvd
Fort Lauderdale, FL 33301-2334
Phone (954) 329-1464

National Provider Directory

National Provider Directory

Locations

1150 S Olive St
Los Angeles, CA 90015
Phone (213) 414-1944

200 S Andrews Ave
Ste 504
Ft Lauderdale, FL 33301
Phone (617) 297-8085

1314 E Las Olas Blvd
Ft Lauderdale, FL 33301
Phone (954) 408-4026

Practitioners & affiliated clinicians

Practitioners 2

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": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1407683907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 E LAS OLAS BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012334",
            "telephone_number": "954-329-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S. ANDREWS AVE,",
            "address_2": "SUITE #504",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33301",
            "telephone_number": "954-329-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH NEAR ME PROFESSIONAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "PATSIORNIK",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-732-2327"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.