Organization Active NPI

Optimal Mind & Wellness Center LLC

  • Adult Psychiatric/Mental Health Registered Nurse
  • Hialeah Gardens, FL
National Provider Identifier
1639968159
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
Legal business name
OPTIMAL MIND & WELLNESS CENTER LLC
Practice address
3408 W 84TH St Ste 309
Hialeah Gardens, FL 33018-4944
Phone
(954) 290-3869
Fax
(954) 861-4522
NPI assigned
May 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Beatriz Gutierrez, APRN11002289NPI 1831757400
Title
Pmnhp
Phone
(954) 765-6505

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0809X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

3408 W 84TH St Ste 309
Hialeah Gardens, FL 33018-4944

Mailing address

3408 W 84TH St Ste 309
Hialeah Gardens, FL 33018-4944
Phone (954) 290-3869

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1639968159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 W 84TH ST STE 309",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184944",
            "telephone_number": "954-290-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 W 84TH ST STE 309",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184944",
            "telephone_number": "954-290-3869",
            "fax_number": "954-861-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL MIND & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "BEATRIZ",
        "authorized_official_title_or_position": "PMNHP",
        "authorized_official_telephone_number": "954-765-6505",
        "authorized_official_credential": "APRN11002289"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.