Organization Active NPI

My Clear Mind Clinic LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Miami Beach, FL
National Provider Identifier
1902530553
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MY CLEAR MIND CLINIC LLC
Doing business as
My Clear Mind Clinic LLC
Practice address
2020 NE 163Rd St Ste 300W
North Miami Beach, FL 33162-4927
Phone
(786) 269-0699
NPI assigned
Jul 11, 2022
Last updated
Mar 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Dr. Whinney Mathew Philip, APRNNPI 1144984394
Title
Provider
Phone
(215) 375-4766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

2020 NE 163Rd St Ste 300W
North Miami Beach, FL 33162-4927

Mailing address

13499 Biscayne Blvd Apt 1009
North Miami, FL 33181-2028
Phone (215) 375-4766

Other practice location 1

1110 Brickell Ave # 430K-102
Miami, FL 33131-3132
Phone (215) 375-4766

Other practice location 2

13499 Biscayne Blvd Apt 1009
North Miami, FL 33181-2028
Phone (215) 375-4766

Other names 1

  • MY CLEAR MIND CLINIC LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220817001217 FL Part B Supplier - Clinic/Group Practice 0143603589 Receives reassigned benefits from 1 practitioner
Practice locations: North Miami, FL

National Provider Directory

National Provider Directory

Locations

2020 NE 163rd St
Ste 300W
North Miami Beach, FL 33162
Phone (786) 269-0699

Practitioners & affiliated clinicians

Practitioners 1

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": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1902530553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13499 BISCAYNE BLVD APT 1009",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812028",
            "telephone_number": "215-375-4766",
            "fax_number": "786-269-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 NE 163RD ST STE 300W",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624927",
            "telephone_number": "786-269-0699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Brickell Ave # 430K-102",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331313132",
            "country_code": "US",
            "telephone_number": "215-375-4766",
            "fax_number": "786-269-0699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13499 Biscayne Blvd Apt 1009",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331812028",
            "country_code": "US",
            "telephone_number": "215-375-4766",
            "fax_number": "786-269-0699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MY CLEAR MIND CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "PHILIP",
        "authorized_official_first_name": "WHINNEY",
        "authorized_official_middle_name": "MATHEW",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "215-375-4766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MY CLEAR MIND CLINIC LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.