Organization Active NPI

Envision Wellness Co.

  • Clinical Neuropsychologist
  • Miami, FL
National Provider Identifier
1982017513
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY 8965 Issued in FL
Legal business name
ENVISION WELLNESS CO.
Practice address
1900 SW 57TH Ave Ste 2
Miami, FL 33155-2170
Phone
(305) 501-0133
NPI assigned
Jun 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Authorized official

Name
Dr. Erika Martinez, PSYD
Title
President
Phone
(305) 501-0133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103G00000X PY 8965 FL Primary

Addresses

Primary practice location

1900 SW 57TH Ave Ste 2
Miami, FL 33155-2170

Mailing address

1900 SW 57TH Ave Ste 2
Miami, FL 33155-2170
Phone (305) 501-0133

National Provider Directory

National Provider Directory

Locations

1900 SW 57th Ave
Ste 2
Miami, FL 33155
Phone (305) 299-8610

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1982017513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SW 57TH AVE STE 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552170",
            "telephone_number": "305-501-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SW 57TH AVE STE 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552170",
            "telephone_number": "305-501-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION WELLNESS CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-501-0133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY 8965",
            "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 26, 2017; 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.