| Psychwell. Inc | |
|
5355 W 20th Ave Hialeah FL 33012-2100 | |
| (786) 280-7820 | |
| Not Available |
| Full Name | Psychwell. Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5355 W 20th Ave, Hialeah, Florida |
| Authorized Official Name and Position | Erislexis Oliva Alvarez (OWNER) |
| Authorized Official Contact | 7866143839 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychwell. Inc 5355 W 20th Ave Hialeah FL 33012-2100 Ph: (786) 614-3839 | Psychwell. Inc 5355 W 20th Ave Hialeah FL 33012-2100 Ph: (786) 280-7820 |
| NPI Number | 1407698236 |
|---|---|
| Provider Enumeration Date | 06/11/2024 |
| Last Update Date | 01/10/2026 |
| Certification Date | 01/10/2026 |
| Medicare PECOS PAC ID | 4284135930 |
|---|---|
| Medicare Enrollment ID | O20250903000565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407698236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (NU) | Secondary |
| 251S00000X | Community/behavioral Health | (NU) | Primary |
| Provider Name | Manuel M Gonzalez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1740226190 PECOS PAC ID: 0042271991 Enrollment ID: I20041023000066 |
| Provider Name | Michael Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437498292 PECOS PAC ID: 2466771233 Enrollment ID: I20200505002053 |
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