SHALOM WELLNESS CENTER CORP.
NPI 1205663671
Clinic/Center - Mental Health (Including Community Mental Health Center) in Miami, FL
About Shalom Wellness Center Corp. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHALOM WELLNESS CENTER CORP. (NPI 1205663671) is a healthcare organization registered as a mental health (including community mental health center) in Miami, Florida and active in the NPI registry since September 2024. The organization lists Pedro Luis Jimenez Pulido, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Shalom Wellness Center Corp. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Shalom Wellness Center Corp., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Shalom Wellness Center Corp.'s NPI number?
The NPI number for Shalom Wellness Center Corp. is 1205663671. It was assigned to this organization in the NPPES registry on September 18, 2024.
Where is Shalom Wellness Center Corp. located?
Shalom Wellness Center Corp. is located at 4995 NW 72nd Ave Ste 209, Miami, FL 33166. The listed phone number is (786) 651-4190.
What is Shalom Wellness Center Corp.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Shalom Wellness Center Corp. enrolled in Medicare?
Yes. Shalom Wellness Center Corp. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shalom Wellness Center Corp.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Shalom Wellness Center Corp., in Mental Health Counselor, Nurse Practitioner and Podiatry. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Shalom Wellness Center Corp. was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Shalom Wellness Center Corp. · NPI 1205663671
Mental Health (Including Community Mental Health Center) organization in Miami, Florida. Organization record, active in the CMS NPPES registry since September 18, 2024.
## Identity
- **NPI:** 1205663671 (Entity type: Organization)
- **Enumerated:** September 18, 2024
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Pedro Jimenez Pulido, ADMINISTRATOR
## Practice location
- **Address:** 4995 NW 72ND AVE STE 209, Miami, FL 33166-5643
- **Phone:** (786) 651-4190
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (1), Nurse Practitioner (1), Podiatry (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1205663671) · Data from the CMS NPPES public registry.