Famh for All Mental Health Psychiatric Telemedicine, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

FAMH FOR ALL MENTAL HEALTH PSYCHIATRIC TELEMEDICINE, LLC

Practice address

4300 Biscayne Blvd Ste 203
Miami, FL 33137-3255

Phone

(877) 400-0540

NPI assigned

Aug 26, 2022

Organization subpart

No

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

Authorized official

Name

Kirk D Nankivell

Title

Cto

Phone

(877) 400-0540

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy S. Ervin

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
  • NPI 1508286212
  Medicare reassignment Care Compare group NPD
• Martina Nankivell, PAC

  • Physician Assistant
  • Long Beach, CA
  • NPI 1376853879

  FL

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1689393100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 BISCAYNE BLVD STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373255",
            "telephone_number": "877-400-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 BISCAYNE BLVD STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373255",
            "telephone_number": "877-400-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMH FOR ALL MENTAL HEALTH PSYCHIATRIC TELEMEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "NANKIVELL",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CTO",
        "authorized_official_telephone_number": "877-400-0540"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "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": []
}

• Kathiana Falmer, LCPC
• Janell Vazquez Falquez
• Jamilet Fals, OT/L
• Michael Brian Falstreau Jr.
• Famalay Health and Wellness LLC
• Familia Community Mental Health Center
• Familia Group Home Inc
• Families in Need of Direction, Inc.
• Families Therapy Corp
• Families Together, Inc

• Psychiatry Physician in Miami, FL
• Providers in Miami, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.

Verify at the official NPI Registry.