NPIMap

Organization Active NPI

Neuro Wellness Centers of America, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Coral Springs, FL
National Provider Identifier
1477051498
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NEURO WELLNESS CENTERS OF AMERICA, LLC
Practice address
9734 W Sample Rd
Coral Springs, FL 33065
Phone
(305) 458-8378
NPI assigned
Jan 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Mrs. Rachelle H Weiss Lahn
Title
Ceo
Phone
(954) 903-1323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

9734 W Sample Rd
Coral Springs, FL 33065

Mailing address

9734 W Sample Rd Ste B
Coral Springs, FL 33065-4004
Phone (305) 458-8378

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190220003005 FL Part B Supplier - Clinic/Group Practice 9537407382 Receives reassigned benefits from 9 practitioners
Practice locations: Coral Springs, FL

National Provider Directory

National Provider Directory

Locations

9734 W Sample Rd
Coral Springs, FL 33065
Phone (954) 903-1323

9734 W Sample Rd
Ste B
Coral Springs, FL 33065

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1477051498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9734 W SAMPLE RD STE B",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654004",
            "telephone_number": "305-458-8378",
            "fax_number": "786-664-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9734 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33065",
            "telephone_number": "305-458-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO WELLNESS CENTERS OF AMERICA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "WEISS LAHN",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-903-1323",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.