Mental Edge Psychiatry and Wellness, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MENTAL EDGE PSYCHIATRY AND WELLNESS, LLC

Practice address

3208 E Colonial Dr Ste C
Orlando, FL 32803-5127

Phone

(321) 357-4684

NPI assigned

Apr 30, 2024

Organization subpart

No

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

Authorized official

Name

Kimberly D Smith

Title

Credentialing/Contracting Agent

Phone

(405) 984-7174

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1730935610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 E COLONIAL DR STE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035127",
            "telephone_number": "321-357-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 E COLONIAL DR STE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035127",
            "telephone_number": "321-357-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL EDGE PSYCHIATRY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CREDENTIALING/CONTRACTING AGENT",
        "authorized_official_telephone_number": "405-984-7174"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Menezes, M.D.
• Martin Menkin, M.D.
• Brett Gordon Menmuir, M.D.
• Vinita Menon
• Linda Mensching, SRNA, RN
• Mental Health Association of Central Florida
• Mental Health First
• Mental Helath Solutions Center
• Mental Playbook Counseling and Consulting Co.
• Mental Playbook Counseling and Consulting Co.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Orlando, FL
• Providers in Orlando, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.