Mental Medic, LLC.

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

Legal business name

MENTAL MEDIC, LLC.

Practice address

1725 Main St Ste 219
Weston, FL 33326-3670

Phone

(954) 380-5303

NPI assigned

Oct 15, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Eugenia Moran, APRN-PMHNPI 1114408135

Title

President

Phone

(954) 882-0942

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Maria Eugenia Moran, APRN

  • Nurse Practitioner
  • Fort Lauderdale, FL
  • NPI 1114408135
  Medicare reassignment NPD Authorized official
• Marcel Flores, PSY.D.

  • Psychologist
  • Salem, OR
  • NPI 1013436567
  NPD

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1699595470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4474 WESTON RD STE 102",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333313195",
            "telephone_number": "954-380-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 MAIN ST STE 219",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263670",
            "telephone_number": "954-380-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL MEDIC, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "EUGENIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-882-0942",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN-PMH"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lianet Mendez, LMHC
• Ana I Mendoza, OTR/L
• Deborah Mendoza, PA
• Julia Mendoza
• Elana Menendez, RMFTI
• Arthur Mercado, MD
• Gloria A Mercado
• Shana Britt Merchant, LPTA
• Madhumatti Merhai, OTR/L
• Gabriela Merino, RBT

• Psychiatric/Mental Health Registered Nurse in Weston, FL
• Providers in Weston, FL by specialty
• Psychiatric/Mental Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.