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CRYSTAL MINDS MEDICAL GROUP
NPI 1932780590
Nurse Practitioner - Psychiatric/Mental Health in Miami, FL

Active since April 15, 2021CLIA 10D2312187 · Waiver
8370 W FLAGLER ST STE 242, MIAMI, FL 33144(786) 321-1600(786) 744-7937 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Dec 13, 2024, Sep 4, 2024, May 18, 2023 and 2 more (5 updates tracked since 2021).

About Crystal Minds Medical Group NPPES

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

CRYSTAL MINDS MEDICAL GROUP (NPI 1932780590) is a healthcare organization registered as a psychiatric/mental health in Miami, Florida and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through October 6, 2026 and lists Enio Reyes Miranda, Owner, as its authorized official.

NPPES Registry Identity

NPI1932780590
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCRYSTAL MINDS MENTAL HEALTH, LLC
Location Address8370 W FLAGLER ST STE 242Miami, FL 33144-2040
Mailing Address1315 Sw 94th CtMiami, FL 33174-3072 · (786) 307-1876
Phone(786) 321-1600
Fax(786) 744-7937
Organization SubpartNo
Authorized OfficialEnio Reyes MirandaOwner · (786) 321-1600
Enumeration DateApril 15, 2021
Last NPPES UpdateDecember 13, 20245 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
✔ NPI 1932780590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
8370 W FLAGLER ST STE 242, Miami, FL 33144
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Other Names 1

Doing Business AsCrystal Minds Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2312187

Crystal Minds Mental Health LLC · Miami, FL
Active · expires Oct 6, 2026
CLIA Number10D2312187
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateOctober 7, 2024
Certificate Expiration DateOctober 6, 2026
Laboratory DirectorEnio Reyes Miranda
Laboratory Phone(786) 321-1600
Laboratory LocationCrystal Minds Mental Health LLC8370 W Flagler St 242, Miami, FL 33144
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ENIO REYES MIRANDA APRN
Nurse Practitioner (Psychiatric/Mental Health)
8370 W FLAGLER ST STE 242
MIAMI, FL 33144
Miami-Dade County (786) 321-1600
HEALTH AND PAIN MEDICAL CENTER
Clinic/Center (Health Service)
8370 W FLAGLER ST STE 242
MIAMI, FL 33144
Miami-Dade County (786) 291-1803

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 Crystal Minds Mental Health, LLC's NPI number?

The NPI number for Crystal Minds Mental Health, LLC is 1932780590. It was assigned to this organization in the NPPES registry on April 15, 2021. The provider is doing business as Crystal Minds Medical Group.

Where is Crystal Minds Mental Health, LLC located?

Crystal Minds Mental Health, LLC is located at 8370 W Flagler St Ste 242, Miami, FL 33144. The listed phone number is (786) 321-1600.

What is Crystal Minds Mental Health, LLC's specialty?

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

Does Crystal Minds Mental Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2312187) is associated with this NPI, valid through October 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Crystal Minds Mental Health, LLC was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.