MY CLEAR MIND CLINIC LLC
NPI 1902530553
Nurse Practitioner - Psychiatric/Mental Health in North Miami Beach, FL

Active since July 11, 2022
2020 NE 163RD ST STE 300W, NORTH MIAMI BEACH, FL 33162(786) 269-0699 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 6, 2026, Jul 11, 2022 (2 updates tracked since 2022).

About My Clear Mind Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MY CLEAR MIND CLINIC LLC (NPI 1902530553) is a healthcare organization registered as a psychiatric/mental health in North Miami Beach, Florida and active in the NPI registry since July 2022. The organization maintains 2 additional practice locations and lists Whinney Mathew Philip, Provider, as its authorized official.

NPPES Registry Identity

NPI1902530553
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMY CLEAR MIND CLINIC LLC
Location Address2020 NE 163RD ST STE 300WNorth Miami Beach, FL 33162-4927
Mailing Address13499 Biscayne Blvd Apt 1009North Miami, FL 33181-2028 · (215) 375-4766 · Fax (786) 269-0699
Organization SubpartNo
Authorized OfficialWhinney Mathew PhilipProvider · (215) 375-4766
Enumeration DateJuly 11, 2022
Last NPPES UpdateMarch 6, 20262 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1902530553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
2020 NE 163RD ST STE 300W, North Miami Beach, FL 33162

Other Names 1

Doing Business AsMy Clear Mind Clinic Llc

Secondary Practice Locations 2

Location 11110 Brickell Ave # 430K-102Miami, FL 33131-3132 · Phone (215) 375-4766 · Fax (786) 269-0699
Location 213499 Biscayne Blvd Apt 1009North Miami, FL 33181-2028 · Phone (215) 375-4766 · Fax (786) 269-0699

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

My Clear Mind Clinic 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 My Clear Mind Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1144984394
4225 W 20TH AVE
Hialeah, FL 33012
(786) 828-7552
✔ PECOS11 mi

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 My Clear Mind Clinic LLC's NPI number?

The NPI number for My Clear Mind Clinic LLC is 1902530553. It was assigned to this organization in the NPPES registry on July 11, 2022.

Where is My Clear Mind Clinic LLC located?

My Clear Mind Clinic LLC is located at 2020 NE 163rd St Ste 300W, North Miami Beach, FL 33162. The listed phone number is (786) 269-0699.

What is My Clear Mind Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is My Clear Mind Clinic LLC enrolled in Medicare?

Yes. My Clear Mind Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through My Clear Mind Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to My Clear Mind Clinic 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 My Clear Mind Clinic LLC was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.