NPIMap

Organization Active NPI

Phoenix Behavior Solutions, Corp

  • Case Management Agency
  • Miami Lakes, FL
National Provider Identifier
1043677420
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PHOENIX BEHAVIOR SOLUTIONS, CORP
Practice address
10222 NW 80TH Ave
Miami Lakes, FL 33016-2308
Phone
(786) 380-6775
NPI assigned
Jan 15, 2016
Last updated
Jan 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Melba CasadoNPI 1902856693
Title
President
Phone
(786) 380-6775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

10222 NW 80TH Ave
Miami Lakes, FL 33016-2308

Mailing address

10222 NW 80TH Ave
Miami Lakes, FL 33016-2308
Phone (786) 380-6775

National Provider Directory

National Provider Directory

Locations

10222 NW 80th Ave
Hialeah Gardens, FL 33016
Phone (786) 380-6775

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1043677420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10222 NW 80TH AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330162308",
            "telephone_number": "786-380-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10222 NW 80TH AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330162308",
            "telephone_number": "786-380-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX BEHAVIOR SOLUTIONS, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "CASADO",
        "authorized_official_first_name": "MELBA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-380-6775"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.