Active NPI
Mental Smile LLC
- Behavior Analyst
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- MENTAL SMILE LLC
- Practice address
- 14966 SW 75TH Ter
Miami, FL 33193-2395 - Phone
- (786) 269-7528
- NPI assigned
- Aug 12, 2024
- Last updated
- Aug 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mayelin Ceballo
- Title
- Owner
- Phone
- (786) 269-7528
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
14966 SW 75TH Ter
Miami, FL 33193-2395
Mailing address
14966 SW 75TH Ter
Miami, FL 33193-2395
Phone (786) 269-7528
National Provider Directory
National Provider Directory- Tax ID family
- Mental Smile LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Miami, FL
- NPI 1104657097
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": "1723420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723420800000",
"number": "1093546988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14966 SW 75TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331932395",
"telephone_number": "786-269-7528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14966 SW 75TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331932395",
"telephone_number": "786-269-7528"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTAL SMILE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-12",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A",
"authorized_official_last_name": "CEBALLO",
"authorized_official_first_name": "MAYELIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-269-7528"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"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 Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.