MENTAL ODYSSEY PSYCHIATRY LLC
NPI 1114774122
Nurse Practitioner - Psychiatric/Mental Health in Miami Gardens, FL
About Mental Odyssey Psychiatry Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MENTAL ODYSSEY PSYCHIATRY LLC (NPI 1114774122) is a healthcare organization registered as a psychiatric/mental health in Miami Gardens, Florida and active in the NPI registry since May 2024. The organization lists Angel Snipes, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mental Odyssey Psychiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mental Odyssey Psychiatry LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mental Odyssey Psychiatry LLC's NPI number?
The NPI number for Mental Odyssey Psychiatry LLC is 1114774122. It was assigned to this organization in the NPPES registry on May 6, 2024.
Where is Mental Odyssey Psychiatry LLC located?
Mental Odyssey Psychiatry LLC is located at 17560 NW 27th Ave Ste 105, Miami Gardens, FL 33056. The listed phone number is (954) 483-1117.
What is Mental Odyssey Psychiatry LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mental Odyssey Psychiatry LLC enrolled in Medicare?
Yes. Mental Odyssey Psychiatry LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mental Odyssey Psychiatry LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mental Odyssey Psychiatry LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mental Odyssey Psychiatry LLC was last updated on April 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mental Odyssey Psychiatry Llc · NPI 1114774122
Psychiatric/Mental Health organization in Miami Gardens, Florida. Organization record, active in the CMS NPPES registry since May 6, 2024.
## Identity
- **NPI:** 1114774122 (Entity type: Organization)
- **Enumerated:** May 6, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Angel Snipes, OWNER
## Practice location
- **Address:** 17560 NW 27TH AVE STE 105, Miami Gardens, FL 33056-4073
- **Phone:** (954) 483-1117
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1114774122) · Data from the CMS NPPES public registry.