Organization Active NPI

Puzzle Builders Behavioral Therapy

  • Developmentally Disabled Services Day Training Agency
  • Hialeah, FL
National Provider Identifier
1013461201
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PUZZLE BUILDERS BEHAVIORAL THERAPY
Practice address
4210 W 10TH LN
Hialeah, FL 33012-7729
Phone
(786) 420-7138
NPI assigned
Aug 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Authorized official

Name
Jessica Lynn IrarragorriNPI 1417453952
Title
RBT Therapist
Phone
(786) 420-7138

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
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

4210 W 10TH LN
Hialeah, FL 33012-7729

Mailing address

4210 W 10TH LN
Hialeah, FL 33012-7729
Phone (786) 420-7138

Other identifiers 1

IdentifierTypeStateIssuer
21886149MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Puzzle Builders2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1013461201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 W 10TH LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127729",
            "telephone_number": "786-420-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 W 10TH LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127729",
            "telephone_number": "786-420-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUZZLE BUILDERS BEHAVIORAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "IRARRAGORRI",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "RBT THERAPIST",
        "authorized_official_telephone_number": "786-420-7138"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21886149",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.