NPIMap

Organization Active NPI

Managed Mental Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hialeah, FL
National Provider Identifier
1033716055
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MANAGED MENTAL HEALTH LLC
Practice address
4445 W 16TH Ave Ste 411
Hialeah, FL 33012-7191
Phone
(305) 764-6417
NPI assigned
Oct 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
Alberto Lamadrid
Title
Owner
Phone
(305) 764-6417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4445 W 16TH Ave Ste 411
Hialeah, FL 33012-7191

Mailing address

4445 W 16TH Ave Ste 411
Hialeah, FL 33012-7191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230209002372 FL Part B Supplier - Clinic/Group Practice 6800272394 Receives reassigned benefits from 9 practitioners
Practice locations: Plantation, FL; Hialeah, FL

National Provider Directory

National Provider Directory

Locations

4445 W 16th Ave
Ste 405
Hialeah, FL 33012
Phone (786) 233-6721

4445 W 16th Ave
Ste 411
Hialeah, FL 33012
Phone (305) 397-3597

Practitioners & affiliated clinicians

Practitioners 11

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": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1033716055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 W 16TH AVE STE 411",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 W 16TH AVE STE 411",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127191",
            "telephone_number": "305-764-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGED MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "LAMADRID",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-764-6417"
    },
    "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": []
}

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 May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.