Organization Active NPI

Diversified Mental Health Care Center Inc

  • General Practice Physician
  • Cutler Bay, FL
National Provider Identifier
1093987059
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
HCC8173 Issued in FL
Legal business name
DIVERSIFIED MENTAL HEALTH CARE CENTER INC
Practice address
10961 SW 186TH St
Cutler Bay, FL 33157-6808
Phone
(305) 256-9996
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Ms. Jacqueline Gainza
Title
President
Phone
(305) 256-9996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X HCC8173 FL Primary

Addresses

Primary practice location

10961 SW 186TH St
Cutler Bay, FL 33157-6808

Mailing address

10961 SW 186TH St
Cutler Bay, FL 33157-6808
Phone (305) 256-9996

Other names 1

  • DIVERSIFIED COMMUNITY HEALTHCARE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1093987059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10961 SW 186TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576808",
            "telephone_number": "305-256-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10961 SW 186TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576808",
            "telephone_number": "305-256-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED MENTAL HEALTH CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "GAINZA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-256-9996",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC8173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIVERSIFIED COMMUNITY HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.