Organization Active NPI

Willow Psychiatry and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1730972761
Registry record updated May 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
WILLOW PSYCHIATRY AND WELLNESS
Practice address
3379 W 90TH Ter
Hialeah, FL 33018-2007
Phone
(305) 815-6699
NPI assigned
May 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2025

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

Authorized official

Name
Monica Maria Corria Vendrell, APRN, PMHNP-BCNPI 1720886401
Title
Nurse Practitioner
Phone
(305) 815-6699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3379 W 90TH Ter
Hialeah, FL 33018-2007

Mailing address

3379 W 90TH Ter
Hialeah, FL 33018-2007
Phone (305) 815-6699

Other identifiers 1

IdentifierTypeStateIssuer
1720886401OtherFLNPPES

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748131200000",
    "number": "1730972761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3379 W 90TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330182007",
            "telephone_number": "305-815-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3379 W 90TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330182007",
            "telephone_number": "305-815-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW PSYCHIATRY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-25",
        "certification_date": "2025-05-25",
        "status": "A",
        "authorized_official_last_name": "CORRIA VENDRELL",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "305-815-6699",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1720886401",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2025; 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.