Organization Active NPI

Incera Mental Wellness Center LLC

  • Community/Behavioral Health Agency
  • Boynton Beach, FL
National Provider Identifier
1912854001
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INCERA MENTAL WELLNESS CENTER LLC
Practice address
404 NE 10TH Ave Ste a
Boynton Beach, FL 33435-3295
Phone
(305) 775-8516
NPI assigned
Mar 16, 2026
Last updated
Mar 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Maribel FernandezNPI 1306536834
Title
Administrator
Phone
(954) 709-7502

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
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

404 NE 10TH Ave Ste a
Boynton Beach, FL 33435-3295

Mailing address

404 NE 10TH Ave Ste a
Boynton Beach, FL 33435-3295
Phone (305) 775-8516

National Provider Directory

National Provider Directory

Locations

404 NE 10th Ave
Ste A
Boynton Beach, FL 33435
Phone (305) 775-8516

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": "1773619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1912854001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 NE 10TH AVE STE A",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334353295",
            "telephone_number": "305-775-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 NE 10TH AVE STE A",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334353295",
            "telephone_number": "305-775-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCERA MENTAL WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "MARIBEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-709-7502"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.