NPIMap

Organization Active NPI

Meraki Wellness & Healing Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami Lakes, FL
National Provider Identifier
1568923985
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MERAKI WELLNESS & HEALING INC.
Practice address
5979 NW 151St St Ste 120
Miami Lakes, FL 33014-2448
Phone
(786) 536-4420
Fax
(888) 293-5884
NPI assigned
Mar 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Authorized official

Name
Ms. Lindsay WallickNPI 1528636685
Title
Ceo
Phone
(786) 536-4420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Hearing and Speech Clinic/Center 261QH0700X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5979 NW 151St St Ste 120
Miami Lakes, FL 33014-2448

Mailing address

5979 NW 151St St Ste 120
Miami Lakes, FL 33014-2448
Phone (786) 536-4420

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200819002462 FL Part B Supplier - Clinic/Group Practice 4284055617 Receives reassigned benefits from 6 practitioners
Practice locations: Miami Lakes, FL

National Provider Directory

National Provider Directory
Tax ID family
Meraki Wellness Healing Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 9

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": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1568923985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5979 NW 151ST ST STE 120",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142448",
            "telephone_number": "786-536-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 NW 151ST ST STE 120",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142448",
            "telephone_number": "786-536-4420",
            "fax_number": "888-293-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERAKI WELLNESS & HEALING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "WALLICK",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-536-4420",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.