NPIMap

Organization Active NPI

Wellnite Medical Group PA

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1891440228
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
WELLNITE MEDICAL GROUP PA
Practice address
2212 NW 91St St
Miami, FL 33147-3534
Phone
(341) 888-7637
Fax
(415) 727-0395
NPI assigned
Feb 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Amy Halanski, MD
Title
Ceo
Phone
(877) 644-6008

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2212 NW 91St St
Miami, FL 33147-3534

Mailing address

2261 Market St # 4058
San Francisco, CA 94114-1612
Phone (341) 888-7637

Other practice location 1

515 N Flagler Dr Ste P300
West Palm Beach, FL 33401-4326
Phone (650) 761-9770

Other practice location 2

701 S Miami Ave
Miami, FL 33130-1946
Phone (650) 761-9770

Other practice location 3

2011 Flagler Ave
Key West, FL 33040-3732
Phone (650) 761-9770

Other practice location 4

1824 N Pearl St
Jacksonville, FL 32206-3664
Phone (650) 761-9770

Other practice location 5

78 SW 7th St Ste 500
Miami, FL 33130-3782
Phone (650) 761-9770

National Provider Directory

National Provider Directory
Tax ID family
Wellnite Medical Group PA47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

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

View all 46

Locations

2212 NW 91st St
Miami, FL 33147
Phone (203) 690-7725

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1891440228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 MARKET ST # 4058",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141612",
            "telephone_number": "341-888-7637",
            "fax_number": "415-727-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 NW 91ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331473534",
            "telephone_number": "341-888-7637",
            "fax_number": "415-727-0395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 N Flagler Dr Ste P300",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334014326",
            "country_code": "US",
            "telephone_number": "650-761-9770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 S Miami Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331301946",
            "country_code": "US",
            "telephone_number": "650-761-9770",
            "fax_number": "415-727-0395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2011 Flagler Ave",
            "address_purpose": "LOCATION",
            "city": "Key West",
            "state": "FL",
            "postal_code": "330403732",
            "country_code": "US",
            "telephone_number": "650-761-9770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1824 N Pearl St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322063664",
            "country_code": "US",
            "telephone_number": "650-761-9770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "78 SW 7th St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331303782",
            "country_code": "US",
            "telephone_number": "650-761-9770",
            "fax_number": "415-727-0395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLNITE MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "HALANSKI",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-644-6008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.