Active NPI
Maria Jose Diaz Colina
- Behavior Analyst
- Miami, FL
National Provider Identifier
1134666894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-75333
- Practice address
- 8300 W Flagler St Ste 170
Miami, FL 33144-2098 - Phone
- (786) 633-5171
- NPI assigned
- Jan 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH25341 | FL | |
| Behavior Analyst | 103K00000X | 1-24-75333 | FL | Primary |
Addresses
Primary practice location
8300 W Flagler St Ste 170
Miami, FL 33144-2098
Mailing address
7585 SW 152ND Ave Apt G104
Miami, FL 33193-2373
Phone (305) 345-2738
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019574300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH25341 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympus Healthcare Services Inc | Behavior Analyst | Current | Accepting new patients |
Locations
8300 W Flagler St
Ste 170
Miami, FL 33144
Phone (786) 633-5171
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": "1484784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1134666894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7585 SW 152ND AVE APT G104",
"city": "MIAMI",
"state": "FL",
"postal_code": "331932373",
"telephone_number": "305-345-2738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 W FLAGLER ST STE 170",
"city": "MIAMI",
"state": "FL",
"postal_code": "331442098",
"telephone_number": "786-633-5171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ COLINA",
"first_name": "MARIA",
"middle_name": "JOSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-19",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH25341",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-24-75333",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019574300",
"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 Aug 29, 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.