Organization Active NPI

Mindcare of America LLC

  • Community/Behavioral Health Agency
  • Atlantis, FL
National Provider Identifier
1538907100
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MINDCARE OF AMERICA LLC
Practice address
5813 S Congress Ave
Atlantis, FL 33462-1347
Phone
(561) 797-0724
Fax
(833) 502-4172
NPI assigned
Jul 18, 2024
Last updated
Feb 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Authorized official

Name
Ezechiel Madestin, DNPNPI 1710608344
Title
Pmhnp-BC
Phone
(561) 797-0724

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
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

5813 S Congress Ave
Atlantis, FL 33462-1347

Mailing address

9465 Worswick CT
Wellington, FL 33414-6423
Phone (561) 797-0724

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240913003793 FL Part B Supplier - Clinic/Group Practice 8426598699 Receives reassigned benefits from 1 practitioner
Practice locations: Atlantis, FL

National Provider Directory

National Provider Directory

Locations

5813 S Congress Ave
Atlantis, FL 33462
Phone (561) 797-0724

5813 S Congress Ave
#35
Atlantis, FL 33462
Phone (561) 797-0724

Practitioners & affiliated clinicians

Practitioners 1

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": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1538907100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9465 WORSWICK CT",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146423",
            "telephone_number": "561-797-0724",
            "fax_number": "833-502-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5813 S CONGRESS AVE",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621347",
            "telephone_number": "561-797-0724",
            "fax_number": "833-502-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDCARE OF AMERICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "MADESTIN",
        "authorized_official_first_name": "EZECHIEL",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "561-797-0724",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.