Mja Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MJA WELLNESS LLC

Practice address

5975 W Sunrise Blvd Ste 115
Plantation, FL 33313-6801

Phone

(954) 479-0430

Fax

(954) 934-9948

NPI assigned

May 20, 2026

Organization subpart

No

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

Authorized official

Name

Minnette AdderlyNPI 1700676913

Title

Pmhnp

Phone

(954) 479-0430

Specialties & licenses 1

Addresses

Practitioners 1

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

• Minnette Adderly

  • Psychiatric/Mental Health Nurse Practitioner
  • Tamarac, FL
  • NPI 1700676913
  NPD Authorized official

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1700716065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6022 NW 91ST WAY STE 119",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214100",
            "telephone_number": "954-479-0430",
            "fax_number": "954-934-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 W SUNRISE BLVD STE 115",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333136801",
            "telephone_number": "954-479-0430",
            "fax_number": "954-934-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJA WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "ADDERLY",
        "authorized_official_first_name": "MINNETTE",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "954-479-0430"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Lexi Miret
• Jacob Solomon Misra, MD
• Sutanu Misra, MD
• Bernice Mitchell, RBT
• Sasha Mizrachi
• Joseph Moarefi
• Mobility Maxx
• Todd Moccabee
• Alireza Modarres, D.D.S.
• Modern Times Womens Care PA

• Psychiatric/Mental Health Nurse Practitioner in Plantation, FL
• Providers in Plantation, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.