Shalom Mental Health and Wellness Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SHALOM MENTAL HEALTH AND WELLNESS INC

Doing business as

Shalom Mental Health and Wellness

Practice address

3157 N University Dr
Hollywood, FL 33024-2258

Phone

(195) 484-9480

NPI assigned

Sep 14, 2020

Last updated

Jun 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carole L Wilkinson, DNP, APRN, PMHNP-BCNPI 1093174484

Title

Owner of Entity

Phone

(305) 284-4656

Specialties & licenses 2

Addresses

Other names 1

• Shalom Mental Health and Wellness Doing business as

Electronic endpoints 1

Locations

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.

• Carole L Wilkinson, ARNP, MHPNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pembroke Pines, FL
  • NPI 1093174484
  Authorized official Same address or phone

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1568077709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18581 SW 44TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330296215",
            "telephone_number": "954-849-4800",
            "fax_number": "954-322-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3157 N UNIVERSITY DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242258",
            "telephone_number": "195-484-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM MENTAL HEALTH AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "305-284-4656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2525 Embassy Dr Ste 14",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330264573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Shalom Mental Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shalom Mental Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hina Y Shah
• Sweeti Shah, DO
• Zulekha Shaikh, SLP
• Bernard Shair, MD
• Jancy Shalet
• Moran Shamir, PSY.D.
• Bailey Ryann Shanahan
• Dana Shani, MS
• Colton Shank
• Shannan M Cason PSYD LLC

• Psychiatric/Mental Health Nurse Practitioner in Hollywood, FL
• Providers in Hollywood, 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 Jun 10, 2022; 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.