Shalom Psychotherapy Center LLC

Primary specialty

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

Legal business name

SHALOM PSYCHOTHERAPY CENTER LLC

Practice address

7392 NW 35TH Ter Ste 207-208
Miami, FL 33122-1271

Phone

(786) 353-2347

Fax

(786) 353-2357

NPI assigned

Oct 16, 2023

Organization subpart

No

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

Authorized official

Name

Amanda Fernandez Richardson

Title

Owner

Phone

(305) 930-5690

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Shalom Psychotherapy Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shalom Psychotherapy Center LLC

  • Behavior Analyst
  • Miami, FL
  • NPI 1073315289
  NPD tax ID

Locations

Practitioners 4

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

• Yanisleidy Estevez Monteagudo, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Coral Springs, FL
  • NPI 1386001394
  Medicare reassignment NPD
• Jose Miguel Morales Gonzalez

  • Psychiatry Physician
  • Miami, FL
  • NPI 1972132512
  Medicare reassignment NPD
• Dalgys Perez Lujan

  • Mental Health Counselor
  • Homestead, FL
  • NPI 1184262818
  Medicare reassignment NPD
• Carlos Ernesto Rodriguez Garcia

  • Mental Health Counselor
  • Doral, FL
  • NPI 1225734940
  Medicare reassignment

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1750163614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15622 SW 60TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331932820",
            "telephone_number": "305-930-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7392 NW 35TH TER STE 207-208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221271",
            "telephone_number": "786-353-2347",
            "fax_number": "786-353-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM PSYCHOTHERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ RICHARDSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-930-5690"
    },
    "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": []
}

• Shalom Alf Home LLC
• Shalom Home Health Service, Inc
• Shalom Meidcal Group LLC
• Shalom Psychotherapy Center
• Shalom Psychotherapy Center LLC
• Shalom Rehabilitation Center Inc
• Shalom Wellness Center Corp.
• Abraham Shalom
• Shalon Alf
• Micha Yithak Shamir, M.D

• Mental Health Clinic/Center (Including Community Mental Health Center) in Miami, FL
• Providers in Miami, 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 Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.