Organization Active NPI

Miami Personal Behavioral LLC

  • Case Management Agency
  • Miami, FL
National Provider Identifier
1104366160
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MIAMI PERSONAL BEHAVIORAL LLC
Practice address
3611 SW 107TH Ave
Miami, FL 33165-3636
Phone
(305) 223-2618
NPI assigned
Feb 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Authorized official

Name
Mrs. Yadira AmaralNPI 1184390759
Title
Member
Phone
(305) 305-4025

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)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3611 SW 107TH Ave
Miami, FL 33165-3636

Mailing address

3611 SW 107TH Ave
Miami, FL 33165-3636
Phone (305) 223-2618

Other identifiers 1

IdentifierTypeStateIssuer
003156900MedicaidFL

National Provider Directory

National Provider Directory

Locations

7575 W Flagler St
Apt UPH2
Miami, FL 33144

Networks

  • HealthSun Health Plans Network

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": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1104366160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653636",
            "telephone_number": "305-223-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653636",
            "telephone_number": "305-223-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI PERSONAL BEHAVIORAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "AMARAL",
        "authorized_official_first_name": "YADIRA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "305-305-4025",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003156900",
            "state": "FL"
        }
    ],
    "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 Feb 17, 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.