Organization Active NPI

Miami Psychiatric Services, LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
National Provider Identifier
1043765605
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
ME122666 Issued in FL
Legal business name
MIAMI PSYCHIATRIC SERVICES, LLC.
Practice address
12260 SW 8TH St
Suite 154
Miami, FL 33184-1551
Phone
(786) 409-5503
Fax
(786) 452-1165
NPI assigned
Aug 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Authorized official

Name
Dr. Myuna Ruiz, M.D.NPI 1669737110
Title
Manager
Phone
(786) 355-9682

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X ME122666 FL Primary

Addresses

Primary practice location

12260 SW 8TH St
Suite 154
Miami, FL 33184-1551

Mailing address

12260 SW 8TH St
Suite 154
Miami, FL 33184-1551
Phone (786) 409-5503

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170220001205 FL Part B Supplier - Clinic/Group Practice 2062795909 Receives reassigned benefits from 4 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

12260 SW 8th St
Ste 154
Miami, FL 33184
Phone (786) 409-5503

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 4

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": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1043765605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12260 SW 8TH ST",
            "address_2": "SUITE 154",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841551",
            "telephone_number": "786-409-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12260 SW 8TH ST",
            "address_2": "SUITE 154",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841551",
            "telephone_number": "786-409-5503",
            "fax_number": "786-452-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI PSYCHIATRIC SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "MYUNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-355-9682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "ME122666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.