MINDRX PSYCHIATRY NPI 1841003845

NPI Information

  • NPI: 1841003845
  • Provider Name: MINDRX PSYCHIATRY
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • CLIA Number: 10D2323454
  • Address: 4121 NW 5TH ST STE 218
    PLANTATION, FL
    ZIP 33317
  • Phone: (954) 335-2486

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NPI Details

MINDRX PSYCHIATRY is a psychiatric/mental health nurse practitioner in Plantation, FL. MINDRX PSYCHIATRY NPI is 1841003845. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4121 NW 5TH ST STE 218
PLANTATION, FL
ZIP 33317-120
Phone: (954) 335-2486
Fax: (954) 902-7561

The provider's authorized official is Sevenise Pierre Cherelus .
The authorized official title is Nurse Practitioner and has the following contact phone number (954) 376-6313.

The CLIA number assigned to this NPI record is 10D2323454 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2025 and was last updated on 6/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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