Active NPI
Health and Healing Mental Health Center
- Psychologist
- Port St Lucie, FL
National Provider Identifier
1619688314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- HEALTH AND HEALING MENTAL HEALTH CENTER
- Practice address
- 1599 SE Lennard Rd
Port St Lucie, FL 34952-6542 - Phone
- (772) 323-0762
- NPI assigned
- Dec 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marlene Egusquiza
- Title
- Psychologist
- Phone
- (786) 210-5277
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
1599 SE Lennard Rd
Port St Lucie, FL 34952-6542
Mailing address
1599 SE Lennard Rd
Port St Lucie, FL 34952-6542
Phone (772) 323-0762
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230110002494 | FL | Part B Supplier - Clinic/Group Practice | 5496125346 |
Receives reassigned benefits from 2 practitioners Practice locations: Port St Lucie, FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Port St Lucie, FL
- NPI 1902550460
FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670889600000",
"number": "1619688314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1599 SE LENNARD RD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349526542",
"telephone_number": "772-323-0762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1599 SE LENNARD RD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349526542",
"telephone_number": "772-323-0762"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH AND HEALING MENTAL HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-13",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A",
"authorized_official_last_name": "EGUSQUIZA",
"authorized_official_first_name": "MARLENE",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "786-210-5277"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
- HCA Healthcare Corporation of America
- Healing Choice Chiropractic Wellness PLLC
- Healing Hands Group Homes Inc.
- Health & Wellness Center of Port St Lucie Inc
- Health and Abundance Inc
- Health Port Chiropractic Inc
- Healthy Heart Center Inc.
- Healthy Lymphatics, Inc
- Healthy MD Clinical, LLC F/K/a Independent Medical Group, LLC
- Hear Again Hearing Aid Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.