Active NPI
Pediatric Institute for Health and Wellness
- Psychiatry Physician
- Stuart, FL
National Provider Identifier
1922835669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- PEDIATRIC INSTITUTE FOR HEALTH AND WELLNESS
- Practice address
- 1002 SE Monterey Commons Blvd Ste 203
Stuart, FL 34996-3357 - Phone
- (844) 550-7337
- Fax
- (772) 264-9820
- NPI assigned
- Sep 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Clark
- Title
- Ceo
- Phone
- (844) 550-7337
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Technician | 106S00000X | |||
| Neurodevelopmental Disabilities Physician | 2084P0005X | |||
| Psychiatry Physician | 2084P0800X | Primary | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X |
Addresses
Primary practice location
1002 SE Monterey Commons Blvd Ste 203
Stuart, FL 34996-3357
Mailing address
1002 SE Monterey Commons Blvd Ste 203
Stuart, FL 34996-3357
Phone (844) 550-7337
Other names 1
- Adult and Pediatric Institute
National Provider Directory
National Provider DirectoryLocations
1002 SE Monterey Commons Blvd
Ste 203
Stuart, FL 34996
Phone (844) 550-7337
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Stuart, FL
- NPI 1861769945
-
- Behavior Analyst
- Port St Lucie, FL
- NPI 1508324823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757980800000",
"number": "1922835669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 SE MONTEREY COMMONS BLVD STE 203",
"city": "STUART",
"state": "FL",
"postal_code": "349963357",
"telephone_number": "844-550-7337",
"fax_number": "772-264-9820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 SE MONTEREY COMMONS BLVD STE 203",
"city": "STUART",
"state": "FL",
"postal_code": "349963357",
"telephone_number": "844-550-7337",
"fax_number": "772-264-9820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC INSTITUTE FOR HEALTH AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-17",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "844-550-7337"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Adult and Pediatric Institute",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Adult and Pediatric Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stuart, FL
- Stephanie Ann Pearson
- Caleb John Peck, RBT
- Elizabeth Gladys Pectol, ARNP
- Randolph B Peddicord, D.O.
- Pediatric Institute for ABA LLC
- Pediatrics Care of Stuart,PA
- Pediatrix Medical Group of Florida Inc
- Pediatrix Medical Group of Florida Inc
- Pediatrix Medical Group of Florida Inc
- Pediatrix Medical Group of Florida Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.