Organization Active NPI

Mdesarmes LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1568079127
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MDESARMES LLC
Practice address
6565 Taft St Ste 406
Hollywood, FL 33024-4002
Phone
(561) 576-3074
Fax
(561) 557-7380
NPI assigned
Sep 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Authorized official

Name
Michelle R DesarmesNPI 1487154746
Title
Provider
Phone
(561) 576-3074

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

6565 Taft St Ste 406
Hollywood, FL 33024-4002

Mailing address

6565 Taft St Ste 406
Pembroke Pines, FL 33024-4002
Phone (561) 576-3074

Other practice location 1

1650 S Dixie Hwy Ste 203
Boca Raton, FL 33432-7461
Phone (567) 576-3074

Other names 1

  • MDESARMES PSYCIATRY LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201030000397 FL Part B Supplier - Clinic/Group Practice 0547670614 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Boca Raton, FL; Hollywood, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1650 S Dixie Hwy
Ste 203
Boca Raton, FL 33432
Phone (561) 576-3074

6565 Taft St
Ste 406
Pembroke Pines, FL 33024
Phone (561) 576-3074

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 3

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": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1568079127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 TAFT ST STE 406",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330244002",
            "telephone_number": "561-576-3074",
            "fax_number": "561-557-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 TAFT ST STE 406",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244002",
            "telephone_number": "561-576-3074",
            "fax_number": "561-557-7380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 S Dixie Hwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334327461",
            "country_code": "US",
            "telephone_number": "567-576-3074",
            "fax_number": "754-345-7764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MDESARMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "DESARMES",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "561-576-3074"
    },
    "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": [
        {
            "organization_name": "MDESARMES PSYCIATRY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.