Memorial Medical Group of South Florida

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MEMORIAL MEDICAL GROUP OF SOUTH FLORIDA

Doing business as

Osenia Mental Health & Wellness

Practice address

15800 Pines Blvd Ste 325
Pembroke Pines, FL 33027-1212

Phone

(754) 273-0885

Fax

(866) 610-8782

NPI assigned

Aug 10, 2020

Last updated

Jun 4, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa B Marshall, MPAS, PA-CNPI 1225398852

Title

Owner

Phone

(754) 273-0885

Specialties & licenses 1

Addresses

Other names 1

• Osenia Mental Health & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23899/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Bethany Marshall, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Pembroke Pines, FL
  • NPI 1225398852
  Medicare reassignment Authorized official
• Ashleigh Russell-Smith, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cutler Bay, FL
  • NPI 1689336364
  Medicare reassignment NPD
• Ebony Petit, M.D.

  • Psychiatry Physician
  • West Palm Beach, FL
  • NPI 1447695184
  NPD (past)

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1841801297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 PINES BLVD UNIT 822503",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330829265",
            "telephone_number": "754-273-0885",
            "fax_number": "866-610-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15800 PINES BLVD STE 325",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271212",
            "telephone_number": "754-273-0885",
            "fax_number": "866-610-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL MEDICAL GROUP OF SOUTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-273-0885",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPAS, PA-C"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osenia Mental Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly M Melo Ballar
• Melvin D Ross MD PA
• Melvyn H. Rech, D.O., P.a.
• Farmeel Faizal Memon
• Memorial Healthcare System
• Memorial Regional Hospital Hollywood Florida (Memorial Healthcare System)
• Kelly Mena Gomez
• Akeymi Mena, MASSAGE THERAPIST
• Evodie Menard
• Elana Mendelssohn, PSYD

• Psychiatry Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.