NPIMap

Organization Active NPI

Multicultural Community Mental Health Center Inc

  • Community/Behavioral Health Agency
  • Palm Springs, FL
National Provider Identifier
1003087537
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MULTICULTURAL COMMUNITY MENTAL HEALTH CENTER INC
Practice address
2112 S Congress Ave
Suite 104
Palm Springs, FL 33406-7670
Phone
(561) 653-6292
Fax
(561) 653-6297
NPI assigned
Mar 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Raul Hernandez Fabian, L.M.H.C.NPI 1821144700
Title
Program Director, President
Phone
(561) 653-6292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X FL Primary

Addresses

Primary practice location

2112 S Congress Ave
Suite 104
Palm Springs, FL 33406-7670

Mailing address

2112 S Congress Ave
Suite 104
Palm Springs, FL 33406-7670
Phone (561) 653-6292

Other identifiers 1

IdentifierTypeStateIssuer
076941000MedicaidFL

National Provider Directory

National Provider Directory

Locations

2112 S Congress Ave
Ste 104
Palm Springs, FL 33406
Phone (561) 653-6292

Practitioners & affiliated clinicians

Practitioners 59

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 59

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1003087537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 S CONGRESS AVE",
            "address_2": "SUITE 104",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334067670",
            "telephone_number": "561-653-6292",
            "fax_number": "561-653-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 S CONGRESS AVE",
            "address_2": "SUITE 104",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334067670",
            "telephone_number": "561-653-6292",
            "fax_number": "561-653-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTICULTURAL COMMUNITY MENTAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ FABIAN",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR, PRESIDENT",
        "authorized_official_telephone_number": "561-653-6292",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.M.H.C."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076941000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.