Provider Demographics
NPI:1841003845
Name:MINDRX PSYCHIATRY
Entity type:Organization
Organization Name:MINDRX PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ARNP PMHNP-BC/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEVENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHERELUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-335-2486
Mailing Address - Street 1:2050 NW 1ST TER
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-5009
Mailing Address - Country:US
Mailing Address - Phone:786-606-8812
Mailing Address - Fax:
Practice Address - Street 1:4121 NW 5TH ST STE 218
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2120
Practice Address - Country:US
Practice Address - Phone:954-335-2486
Practice Address - Fax:954-902-7561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-31
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty