Organization Active NPI

Lavender Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1497599443
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LAVENDER PSYCHIATRY
Practice address
475 NE 113TH St
Miami, FL 33161-6646
Phone
(305) 747-9371
NPI assigned
Jun 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Garline BassetteNPI 1215537378
Title
Ceo
Phone
(305) 747-9371

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

475 NE 113TH St
Miami, FL 33161-6646

Mailing address

475 NE 113TH Street
NE 113 Street
Miami Shores, FL 33161-4935
Phone (754) 816-6389

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1497599443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 NE 113TH STREET",
            "address_2": "NE 113 STREET",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331614935",
            "telephone_number": "754-816-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 NE 113TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331616646",
            "telephone_number": "305-747-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVENDER PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "BASSETTE",
        "authorized_official_first_name": "GARLINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-747-9371"
    },
    "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": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.