Organization Active NPI

Genesis Advanced Therapy Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami Lakes, FL
National Provider Identifier
1982554648
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GENESIS ADVANCED THERAPY INC
Practice address
5881 NW 151St St Ste 203
Miami Lakes, FL 33014-2442
Phone
(561) 647-8425
NPI assigned
Feb 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
Gabriela Fernandez
Title
Owner
Phone
(561) 647-8425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5881 NW 151St St Ste 203
Miami Lakes, FL 33014-2442

Mailing address

5881 NW 151St St Ste 203
Miami Lakes, FL 33014-2442
Phone (561) 647-8425

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1769990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1982554648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 NW 151ST ST STE 203",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142442",
            "telephone_number": "561-647-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 NW 151ST ST STE 203",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142442",
            "telephone_number": "561-647-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ADVANCED THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-647-8425"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.