Max Community Wellness Center Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MAX COMMUNITY WELLNESS CENTER INC

Practice address

10300 Sunset Dr Ste 164
Miami, FL 33173-3002

Phone

(786) 636-4812

NPI assigned

Sep 8, 2020

Organization subpart

No

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

Authorized official

Name

Maylyn Diaz Mendoza

Title

President

Phone

(786) 399-0106

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1013522945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SUNSET DR STE 164",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733002",
            "telephone_number": "786-636-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SUNSET DR STE 164",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733002",
            "telephone_number": "786-636-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX COMMUNITY WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "DIAZ MENDOZA",
        "authorized_official_first_name": "MAYLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-399-0106"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Miami, FL
• Providers in Miami, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.