M.I.S Mental Health Services Corp

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

M.I.S MENTAL HEALTH SERVICES CORP

Practice address

5080 NW 74TH Ave
Miami, FL 33166-5554

Phone

(305) 562-4396

Fax

(305) 631-2180

NPI assigned

Sep 1, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Susana Lay Tejeda, CBHCMS

Title

President

Phone

(305) 562-4396

Specialties & licenses 1

Addresses

Other names 1

• M.I.S MENTAL HEALTH SERVICES CORP Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lazaro Diaz, B.S

  • Social Worker
  • Miami, FL
  • NPI 1639560667
  NPD

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1154099455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 NW 74TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331665554",
            "telephone_number": "305-562-4396",
            "fax_number": "305-631-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 NW 74TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331665554",
            "telephone_number": "305-562-4396",
            "fax_number": "305-631-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.I.S MENTAL HEALTH SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "LAY TEJEDA",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-562-4396",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CBHCMS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M.I.S MENTAL HEALTH SERVICES CORP",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "M.I.S MENTAL HEALTH SERVICES CORP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• All providers in Miami, FL
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.