NPIMap

Organization Active NPI

Mental Health Institute of Florida LLC

  • Mental Health Counselor
  • Pembroke Pines, FL
National Provider Identifier
1467915777
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MENTAL HEALTH INSTITUTE OF FLORIDA LLC
Practice address
1921 NW 150TH Ave Ste 104
Pembroke Pines, FL 33028-2872
Phone
(786) 393-0361
Fax
(954) 251-7005
NPI assigned
Apr 12, 2019
Last updated
Feb 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Dr. Andres Feliciano Mambuca, PSYD,MS,LMHCNPI 1720352743
Title
Clinical Director
Phone
(954) 663-8086

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1921 NW 150TH Ave Ste 104
Pembroke Pines, FL 33028-2872

Mailing address

3311 SW 195TH Ter
Miramar, FL 33029-5881
Phone (954) 663-8086

National Provider Directory

National Provider Directory

Locations

1931 NW 150th Ave
Ste 111112
Pembroke Pines, FL 33028
Phone (954) 251-7005

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1467915777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 SW 195TH TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295881",
            "telephone_number": "954-663-8086",
            "fax_number": "954-251-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 NW 150TH AVE STE 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282872",
            "telephone_number": "786-393-0361",
            "fax_number": "954-251-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH INSTITUTE OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-23",
        "status": "A",
        "authorized_official_last_name": "MAMBUCA",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_middle_name": "FELICIANO",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "954-663-8086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD,MS,LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.