Community Behavioral Management,Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

COMMUNITY BEHAVIORAL MANAGEMENT,INC

Practice address

3 SW 129TH Ave Ste 203
Pembroke Pines, FL 33027-1779

Phone

(786) 230-5396

Fax

(786) 431-1491

NPI assigned

Oct 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Lidice Gisel Carrillo, BS,FMD

Title

Targeted Case Manager/President

Phone

(786) 230-5396

Specialties & licenses 3

Addresses

Networks

• HealthSun Health Plans Network

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

{
    "created_epoch": "1349568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645228800000",
    "number": "1083966642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 NW 35TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331472730",
            "telephone_number": "786-230-5396",
            "fax_number": "786-431-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SW 129TH AVE STE 203",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271779",
            "telephone_number": "786-230-5396",
            "fax_number": "786-431-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY BEHAVIORAL MANAGEMENT,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-07",
        "last_updated": "2022-02-19",
        "certification_date": "2022-02-19",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "LIDICE",
        "authorized_official_middle_name": "GISEL",
        "authorized_official_title_or_position": "TARGETED CASE MANAGER/PRESIDENT",
        "authorized_official_telephone_number": "786-230-5396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BS,FMD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2022; 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.