Organization Active NPI

Mindwell Psychiatry Associates LLC

  • Psychiatric/Mental Health Registered Nurse
  • North Miami Beach, FL
National Provider Identifier
1619820479
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
Legal business name
MINDWELL PSYCHIATRY ASSOCIATES LLC
Practice address
100 NW 170TH St Ste 105
North Miami Beach, FL 33169-5510
Phone
(786) 936-6262
NPI assigned
Feb 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Dainelis VelazquezNPI 1417693011
Title
Ambr
Phone
(786) 602-8900

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 Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0808X Primary

Addresses

Primary practice location

100 NW 170TH St Ste 105
North Miami Beach, FL 33169-5510

Mailing address

100 NW 170TH St Ste 105
North Miami Beach, FL 33169-5510
Phone (786) 936-6262

Other practice location 1

813 E Hickpochee Ave Ste 500
LaBelle, FL 33935-5028
Phone (786) 936-6262

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260616001499 FL Part B Supplier - Clinic/Group Practice 6901378470 Receives reassigned benefits from 1 practitioner
Practice locations: North Miami Beach, FL

National Provider Directory

National Provider Directory

Locations

813 E Hickpochee Ave
Ste 500
Labelle, FL 33935
Phone (863) 342-4221

Practitioners & affiliated clinicians

Practitioners 1

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": "1771459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1619820479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NW 170TH ST STE 105",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695510",
            "telephone_number": "786-936-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW 170TH ST STE 105",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695510",
            "telephone_number": "786-936-6262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "813 E Hickpochee Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "LaBelle",
            "state": "FL",
            "postal_code": "339355028",
            "country_code": "US",
            "telephone_number": "786-936-6262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDWELL PSYCHIATRY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-19",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "DAINELIS",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "786-602-8900"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.