=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265393714
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DADE PSYCHIATRY CENTERLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/22/2025
-----------------------------------------------------
Last Update Date | 11/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 501 N DIXIE HWY STE 2006
-----------------------------------------------------
City | HALLANDALE BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33009-3987
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-429-6903
-----------------------------------------------------
Fax | 954-248-1996
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 501 N DIXIE HWY STE 2006
-----------------------------------------------------
City | HALLANDALE BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33009-3987
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-429-6903
-----------------------------------------------------
Fax | 954-248-1996
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR IN NURSING PRACTICE/PROVIDER
-----------------------------------------------------
Name | MAYKELYN FELIPE
-----------------------------------------------------
Credential | DNP, PMHNP-BC, FNP-B
-----------------------------------------------------
Telephone | 786-282-0025
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------