Individual provider Active NPI

America Conde

  • Behavior Analyst
  • Coral Gables, FL
National Provider Identifier
1104166396
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-25920 Issued in FL
Practice address
3081 Salzedo St Ste 202
Coral Gables, FL 33134-6725
Phone
(305) 707-1600
NPI assigned
Feb 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH18819 FL
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X 1-17-25920 CA
Student in an Organized Health Care Education/Training Program 390200000X FL
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1-17-25920 FL Primary

Addresses

Primary practice location

3081 Salzedo St Ste 202
Coral Gables, FL 33134-6725

Mailing address

3081 Salzedo St Ste 202
Coral Gables, FL 33134-6725
Phone (305) 707-1600

Other practice location 1

13950 Milton Ave Ste 200B
Westminster, CA 92683-2939
Phone (855) 832-6727

Other practice location 2

3900 NW 79th Ave
Suite 501
Doral, FL 33166-6556
Phone (305) 597-3861

Other identifiers 1

IdentifierTypeStateIssuer
024870700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL aconde@pivotaltherapy.net Direct

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
I20231211000606 FL Practitioner - Mental Health Counselor 2466801915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH18819FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pivotal Therapy, LLC Behavior Analyst CurrentSince Aug 25, 2024 Accepting new patients

Locations

3081 Salzedo St
Ste 202
Coral Gables, FL 33134
Phone (305) 423-9671

7721 SW 62nd Ave
Ste 203
South Miami, FL 33143
Phone (305) 574-9132

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1104166396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3081 SALZEDO ST STE 202",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346725",
            "telephone_number": "305-707-1600",
            "fax_number": "270-716-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3081 SALZEDO ST STE 202",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346725",
            "telephone_number": "305-707-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13950 Milton Ave Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CA",
            "postal_code": "926832939",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 NW 79th Ave",
            "address_2": "Suite 501",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331666556",
            "country_code": "US",
            "telephone_number": "305-597-3861",
            "fax_number": "305-597-3863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONDE",
        "first_name": "AMERICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18819",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-17-25920",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-17-25920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024870700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "aconde@pivotaltherapy.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3081 Salzedo St Ste 202",
            "city": "Coral Gables",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331346725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.