Family Mental Health Services of South Florida, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FAMILY MENTAL HEALTH SERVICES OF SOUTH FLORIDA, LLC

Doing business as

Ellie Mental Health

Practice address

1533 Sunset Dr Ste 225
Coral Gables, FL 33143-5700

Phone

(786) 252-1665

NPI assigned

Jul 13, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas Machado-Feuermann, MBA

Title

Owner - Authorized Official

Phone

(786) 252-1665

Specialties & licenses 3

Addresses

Other names 1

• Ellie Mental Health Doing business as

Locations

Practitioners 1

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

• Renee Rachael Debord, LMHC

  • Mental Health Counselor
  • Coral Gables, FL
  • NPI 1407634959
  NPD

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1760116966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SUNSET HARBOR DR APT 706",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331391478",
            "telephone_number": "786-252-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 SUNSET DR STE 225",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331435700",
            "telephone_number": "786-252-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MENTAL HEALTH SERVICES OF SOUTH FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "MACHADO-FEUERMANN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER - AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "786-252-1665",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zannia F Falero
• Niloofar Fallah, PHD
• Family Care & Rehabilitation Center
• Family Counseling and Coaching of Miami
• Family Dental Care
• Family, Adult & Child Enrichment Services, Inc.
• Angelica Maria Fandino, DNP,APRN,IBCLC
• Dana Faria, MS, CCC-SLP
• Farid Marquez MD PA
• Derek James Faridad, M.D.

• Mental Health Counselor in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.