OrganizationActive
Heart 623 Heart
NPI 1336730951 · Psychiatric/Mental Health Nurse Practitioner · Sunrise, FL
Provider details
- NPI number
- 1336730951
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Edlyne Joseph, Pmhnp(954) 480-3072
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14201 W Sunrise Blvd Ste 208
Sunrise, FL 33323-3207
Phone: (954) 480-3072
Street-level locationGet directions
Mailing address
4846 N University Dr Ste 612
Lauderhill, FL 33351-4510
Additional practice locations (1)
- 1225 Nw 10th AveGainesville, FL 32601-4154Phone: (954) 480-3072
Registry dates
- Enumerated
- 2021-01-27
- Last updated
- 2025-03-24
- Certified
- 2025-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.