Healthcare Provider Details

I. General information

NPI: 1194664508
Provider Name (Legal Business Name): CALM MINDS PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 03/28/2026
Certification Date: 03/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7440 N KENDALL DR
MIAMI FL
33156-7751
US

IV. Provider business mailing address

7440 N KENDALL DR APT 1113
MIAMI FL
33156-8041
US

V. Phone/Fax

Practice location:
  • Phone: 786-590-2571
  • Fax: 786-839-3314
Mailing address:
  • Phone: 786-590-2571
  • Fax: 786-839-3314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JESSICA LAUREN PENATE
Title or Position: PMHNP
Credential: DNP, APRN, PMHNP-BC
Phone: 786-387-5907