Individual provider Active NPI

Mailyn Santana, MD

  • Psychiatry Physician
  • South Miami, FL
National Provider Identifier
1720574411
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME151456 Issued in FL
Practice address
5901 SW 74TH St Ste 211
South Miami, FL 33143-5150
Phone
(786) 228-6892
NPI assigned
Jul 5, 2018
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 202300782 NC
Psychiatry Physician 2084P0800X ME151456 FL Primary
Addiction Psychiatry Physician 2084P0802X ME151456 FL
Addiction Psychiatry Physician 2084P0802X 202300782 NC
Child & Adolescent Psychiatry Physician 2084P0804X ME151456 FL
Child & Adolescent Psychiatry Physician 2084P0804X 202300782 NC

Addresses

Primary practice location

5901 SW 74TH St Ste 211
South Miami, FL 33143-5150

Mailing address

5901 SW 74TH St Ste 211
South Miami, FL 33143-5150
Phone (786) 228-6892

Other practice location 1

4175 W 20th Ave
Hialeah, FL 33012-5874
Phone (305) 825-0300

Other names 1

  • Mailyn Santana Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231206004255 FL Practitioner - Psychiatry 6103275839 Reassigns benefits to 3 organizations
I20240919000333 NC Practitioner - Psychiatry 6103275839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Santana Mental Health Services LLCGroup PAC ID 8426578626, 9 clinicians

Practice addresses (Care Compare)

5901 SW 74TH St
Suite 211
Miami, FL 33143-5150
Phone (786) 228-6892

912 College St
Oxford, NC 27565-2645
Phone (786) 228-6892

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME151456FLMDChild & Adolescent Psychiatry Physician
202300782NCMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santana Mental Health Services CurrentSince Sep 14, 2025 Accepting new patients
Citrus Health Network, Inc. CurrentSince Oct 21, 2023 Accepting new patients
Santana Mental Health Services LLC Psychiatry CurrentSince Apr 13, 2023 Accepting new patients
Citrus Health Network Inc Current Accepting new patients
Sanara Behavioral Health Psychiatry CurrentSince Apr 1, 2026 Accepting new patients
Citrus Health Network, Inc. CurrentSince Oct 21, 2023 Accepting new patients

Locations

4175 W 20th Ave
Hialeah, FL 33012
Phone (305) 424-3030

5901 SW 74th St
Ste 208
Miami, FL 33143
Phone (305) 975-7562

5901 SW 74th St
Ste 211
South Miami, FL 33143
Phone (786) 228-6892

912 College St
Oxford, NC 27565
Phone (919) 603-5400

Organizations & group practices 6

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

Hospital & facility affiliations 2

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": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1720574411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 SW 74TH ST STE 211",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435150",
            "telephone_number": "786-228-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 SW 74TH ST STE 211",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435150",
            "telephone_number": "786-228-6892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4175 W 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330125874",
            "country_code": "US",
            "telephone_number": "305-825-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "MAILYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "202300782",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME151456",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "FL",
            "license": "ME151456",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NC",
            "license": "202300782",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME151456",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "202300782",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAILYN",
            "last_name": "SANTANA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.