Individual provider Active NPI

Eudaldo Aponte III, MSN, APRN , PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1720450166
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP9313555 Issued in FL
Practice address
5951 NW 173Rd Dr
Suite 7
Hialeah, FL 33015-5112
Phone
(305) 557-1030
Fax
(305) 456-3290
NPI assigned
Oct 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP9313555 FL Primary

Addresses

Primary practice location

5951 NW 173Rd Dr
Suite 7
Hialeah, FL 33015-5112

Mailing address

5951 NW 173Rd Dr
Suite 7
Hialeah, FL 33015-5112
Phone (305) 557-1030

Other identifiers 1

IdentifierTypeStateIssuer
016095200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160314002401 FL Practitioner - Nurse Practitioner 5496055063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Specialty Center, LLCGroup PAC ID 2961702089, 20 clinicians
Alina C. Nodal MD PAGroup PAC ID 7719160449, 2 clinicians

Practice addresses (Care Compare)

1035 S State Rd
7 Suite 209
Wellington, FL 33414-6136
Phone (561) 331-8800

5951 NW 173 Dr
Suite 7
Miami, FL 33015-5113
Phone (305) 557-1030

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9313555FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alina C. Nodal MD PA CurrentSince Dec 8, 2015 Accepting new patients
Psychiatric Specialty Center LLC CurrentSince Dec 1, 2022 Accepting new patients
Henderson Behavioral Health, Inc. PastSince Mar 14, 2016 Accepting new patients
Mindpath Health Florida, PLLC Psychiatric/Mental Health PastSince Dec 1, 2022 Accepting new patients

Locations

5951 NW 173rd Dr
Unit 7
Miami Gardens, FL 33015
Phone (305) 557-1030

1035 S State Road 7
Ste 209
Wellington, FL 33414
Phone (561) 331-8800

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1720450166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5951 NW 173RD DR",
            "address_2": "SUITE 7",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155112",
            "telephone_number": "305-557-1030",
            "fax_number": "305-456-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5951 NW 173RD DR",
            "address_2": "SUITE 7",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155112",
            "telephone_number": "305-557-1030",
            "fax_number": "305-456-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APONTE III",
        "first_name": "EUDALDO",
        "name_prefix": "Mr.",
        "credential": "MSN, APRN , PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-26",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9313555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016095200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.