Organization Active NPI

Neupath Mind Wellness Delray Beach, LLC

  • Psychiatry Physician
  • Delray Beach, FL
National Provider Identifier
1891520359
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NEUPATH MIND WELLNESS DELRAY BEACH, LLC
Practice address
1874 Dr Andres Way Ste 127
Delray Beach, FL 33445-4690
Phone
(561) 847-3662
NPI assigned
Sep 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Reanna Ramkhelawan
Title
Credentialing Specialist
Phone
(786) 281-2398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1874 Dr Andres Way Ste 127
Delray Beach, FL 33445-4690

Mailing address

1874 Dr Andres Way Ste 127
Delray Beach, FL 33445-4690
Phone (561) 847-3662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241025000176 FL Part B Supplier - Clinic/Group Practice 1557894888 Receives reassigned benefits from 5 practitioners
Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory

Locations

1874 Dr Andres Way
Ste 127
Delray Beach, FL 33445
Phone (561) 847-3662

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1891520359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 DR ANDRES WAY STE 127",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454690",
            "telephone_number": "561-847-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 DR ANDRES WAY STE 127",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454690",
            "telephone_number": "561-847-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUPATH MIND WELLNESS DELRAY BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "RAMKHELAWAN",
        "authorized_official_first_name": "REANNA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "786-281-2398"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

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