Mergence Psychiatric Health & Wellness Center LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MERGENCE PSYCHIATRIC HEALTH & WELLNESS CENTER LLC

Practice address

1489 W Palmetto Park Rd Ste 410
Boca Raton, FL 33486-3325

Phone

(305) 537-8143

NPI assigned

Jan 21, 2025

Organization subpart

No

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

Authorized official

Name

Vivian ThomasNPI 1134670912

Title

Owner

Phone

(305) 537-8143

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Vivian Carolina Thomas, DNP, MSN, APRN, PMHN

  • Psychiatric/Mental Health Nurse Practitioner
  • Boca Raton, FL
  • NPI 1134670912
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1548072150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5918 PATIO DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335451",
            "telephone_number": "305-537-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 W PALMETTO PARK RD STE 410",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334863325",
            "telephone_number": "305-537-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERGENCE PSYCHIATRIC HEALTH & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-537-8143"
    },
    "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": []
}

• Marcha Merandieu
• Sean Mercer, PHARM. D
• Joseph Mercho, MD
• Mercy Health Associates LLC
• Joseph Merendino, DPM
• Meridian Radiology Associates LLC
• Daniela Merino
• Lissette Maria Merino
• Carlyn Jacques Meriwether, MA,MS
• Tamar Merjian, MS, LMHC

• Psychiatric/Mental Health Nurse Practitioner in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.