Shalom Mental Health and Wellness Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SHALOM MENTAL HEALTH AND WELLNESS INC

Practice address

3157 N University Dr
Hollywood, FL 33024-2258

Phone

(195) 484-9480

NPI assigned

Sep 14, 2020

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-BC

Title

Owner of Entity

Phone

(305) 284-4656

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Shalom Mental Health and Wellness Doing business as

Electronic endpoints 1

Locations

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "116663188",
            "identifier": "116663188",
            "state": "FL"
        }
    ],
    "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.