Organization Active NPI

Vidal Healing Minds Corp

  • Psychiatry Physician
  • Naples, FL
National Provider Identifier
1417786278
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
VIDAL HEALING MINDS CORP
Practice address
4760 Tamiami TRL N Ste 25
Naples, FL 34103-3065
Phone
(239) 423-0272
Fax
(239) 423-0292
NPI assigned
Jul 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Authorized official

Name
Miss Melva R Reve Urgelles, MDNPI 1982233631
Title
President
Phone
(239) 423-0272

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

4760 Tamiami TRL N Ste 25
Naples, FL 34103-3065

Mailing address

4760 Tamiami TRL N Ste 25
Naples, FL 34103-3065
Phone (239) 423-0272

Other practice location 1

5282 Golden Gate Pkwy Ste C
Naples, FL 34116-7649
Phone (239) 467-6051

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240918002135 FL Part B Supplier - Clinic/Group Practice 4981145927 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL; Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Vidal Healing Minds Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1417786278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 TAMIAMI TRL N STE 25",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033065",
            "telephone_number": "239-423-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 TAMIAMI TRL N STE 25",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033065",
            "telephone_number": "239-423-0272",
            "fax_number": "239-423-0292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5282 Golden Gate Pkwy Ste C",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341167649",
            "country_code": "US",
            "telephone_number": "239-467-6051",
            "fax_number": "239-467-6055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIDAL HEALING MINDS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "REVE URGELLES",
        "authorized_official_first_name": "MELVA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-423-0272",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.