Organization Active NPI

Bright Mind Integral Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1639031552
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BRIGHT MIND INTEGRAL HEALTH, LLC
Practice address
1710 SW 97TH PL
Miami, FL 33165-7643
Phone
(305) 917-5359
NPI assigned
Dec 1, 2025
Last updated
Dec 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Roberto Puga, MSN, PMHNP, FNPNPI 1255736336
Title
MGR
Phone
(305) 917-5359

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 Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

1710 SW 97TH PL
Miami, FL 33165-7643

Mailing address

1710 SW 97TH PL
Miami, FL 33165-7643
Phone (305) 917-5359

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1764547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1639031552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 SW 97TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657643",
            "telephone_number": "305-917-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 SW 97TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657643",
            "telephone_number": "305-917-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT MIND INTEGRAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-11-30",
        "status": "A",
        "authorized_official_last_name": "PUGA",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "305-917-5359",
        "authorized_official_credential": "MSN, PMHNP, FNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.