CRYSTAL MINDS MEDICAL GROUP
NPI 1932780590
Nurse Practitioner - Psychiatric/Mental Health in Miami, FL
NPI Status: Active since April 15, 2021
Contact Information
8370 W FLAGLER ST STE 242
MIAMI, FL
ZIP 33144
Phone: (786) 321-1600
Fax: (786) 744-7937
- Organization
- Nurse Practitioner
- Psychiatric/Mental Health
- CLIA Number: 10D2312187
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 10-06-2026
About CRYSTAL MINDS MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Crystal Minds Medical Group, a provider established in Miami, Florida operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1932780590 assigned on April 2021. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Crystal Minds Medical Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Crystal Minds Medical Group. The authorized official of this NPI record is Enio Reyes Miranda (Owner)
- NPI
- 1932780590
- Provider Legal Name
- CRYSTAL MINDS MENTAL HEALTH, LLC
- Other Organization Name
- CRYSTAL MINDS MEDICAL GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 8370 W FLAGLER ST STE 242 MIAMI, FL 33144
- Location Phone
- (786) 321-1600
- Location Fax
- (786) 744-7937
- Mailing Address
- 1315 SW 94TH CT MIAMI, FL 33174
- Mailing Phone
- (786) 307-1876
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-15-2021
- Last Update Date
- 12-13-2024
- Code Navigator
A nurse practitioner (NP) like Crystal Minds Medical Group is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | |
| 2 | 251B00000X | Agencies | Case Management | |
| 3 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 4 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2312187
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- October 07, 2024
- Certificate Expiration Date
- October 06, 2026
- Laboratory Director
- ENIO REYES MIRANDA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Crystal Minds Medical Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1932780590, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
MIAMI, FL 33144
MIAMI, FL 33144
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932780590, enumerated as an "organization" on April 15, 2021.
The provider is located at 8370 W FLAGLER ST STE 242 MIAMI, FL 33144 and the phone number is (786) 321-1600.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
