Individual provider Active NPI

Micaela S Benayoun

  • Marriage & Family Therapist
  • Pembroke Pines, FL
National Provider Identifier
1073116000
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMT3398 Issued in FL
Practice address
1152 N University Dr
Pembroke Pines, FL 33024-5000
Phone
(954) 639-7345
NPI assigned
Nov 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMT3398 FL Primary

Addresses

Primary practice location

1152 N University Dr
Pembroke Pines, FL 33024-5000

Mailing address

1400NE 191St
#324
Miami, FL 33179
Phone (786) 286-4333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231218002750 FL Practitioner - Marriage and Family Therapist 0042669913 Reassigns benefits to 9 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMT3398FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Is the Limit Marketing Services Corp CurrentSince Jan 10, 2025 Accepting new patients
Mas Vida Medical Center Corp CurrentSince Sep 29, 2024 Accepting new patients
Mas Vida Medical Center Corp CurrentSince Sep 5, 2024 Accepting new patients
Alpha Therapy Center Inc CurrentSince Dec 22, 2024 Accepting new patients
Vitas Medical Center Inc CurrentSince Sep 7, 2024 Accepting new patients
Rangel Medical Center CurrentSince Feb 10, 2025 Accepting new patients
Progressive Medical Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Rodriguez Community Center Corp CurrentSince Apr 19, 2025 Accepting new patients
Sky Is the Limit Marketing Services Corp CurrentSince Mar 30, 2025 Accepting new patients
Orquidea Medical Center LLC CurrentSince Sep 20, 2024 Accepting new patients
Rangel Medical Center PastSince Mar 11, 2025 Accepting new patients
Canes Medical Center Inc Past Accepting new patients

Locations

11055 SW 186th St
Cutler Bay, FL 33157
Phone (305) 781-3489

11055 SW 186th St
Ste 101
Cutler Bay, FL 33157
Phone (305) 342-4893

1840 W 49th St
Ste 515
Hialeah, FL 33012
Phone (305) 603-6202

1301 Palm Ave
Unit 102
Hialeah, FL 33010
Phone (305) 497-2625

12595 SW 137th Ave
Ste 110
Miami, FL 33186
Phone (305) 465-9379

15190 SW 136th St
Ste 11
Miami, FL 33196
Phone (786) 587-3606

13190 SW 134th St
Ste B1
Miami, FL 33186
Phone (786) 429-1276

12039 SW 132nd Ct
Unit 5
Miami, FL 33186
Phone (783) 417-1303

12595 SW 137th Ave
Ste 201
Miami, FL 33186
Phone (786) 526-7708

5040 NW 7th St
Ste 750
Miami, FL 33126
Phone (305) 301-7169

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1073116000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400NE 191ST",
            "address_2": "#324",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33179",
            "telephone_number": "786-286-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330245000",
            "telephone_number": "954-639-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAYOUN",
        "first_name": "MICAELA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT3398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.