Organization Active NPI

New Phases Community Service

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pembroke Pines, FL
National Provider Identifier
1073130837
Registry record updated Jun 28, 2020
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
NEW PHASES COMMUNITY SERVICE
Practice address
1321 NW 144TH Ave
Pembroke Pines, FL 33028-2919
Phone
(516) 412-1000
NPI assigned
Jun 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2020

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

Authorized official

Name
Jamilia McDonald
Title
Ceo
Phone
(516) 412-1000

Specialties & licenses 1

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

Addresses

Primary practice location

1321 NW 144TH Ave
Pembroke Pines, FL 33028-2919

Mailing address

1321 NW 144TH Ave
Pembroke Pines, FL 33028-2919
Phone (516) 412-1000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1593302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593302400000",
    "number": "1073130837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 NW 144TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282919",
            "telephone_number": "516-412-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 NW 144TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282919",
            "telephone_number": "516-412-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PHASES COMMUNITY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-28",
        "last_updated": "2020-06-28",
        "certification_date": "2020-06-28",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "JAMILIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-412-1000"
    },
    "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 Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.