Active NPI
Mental Care Medical Center Inc
Doing business as Medical C are Center Group
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Doral, FL
National Provider Identifier
1154932457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MENTAL CARE MEDICAL CENTER INC
- Doing business as
- Medical C are Center Group
- Practice address
- 7925 NW 12TH St Ste 225
Doral, FL 33126-1821 - Phone
- (305) 788-6644
- NPI assigned
- Aug 11, 2020
- Last updated
- Jun 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pedro A Amador Rodriguez
- Title
- Owner/President
- Phone
- (305) 788-6644
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary | |
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
7925 NW 12TH St Ste 225
Doral, FL 33126-1821
Mailing address
7925 NW 12TH St Ste 225
Doral, FL 33126-1821
Phone (305) 788-6644
Other practice location 1
7925 NW 12th St Ste 225
Doral, FL 33126-1821
Phone (305) 788-6644
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117263400 | Medicaid | FL | |
| 107706300 | Medicaid | FL | |
| 110034600 | Medicaid | FL |
Other names 1
- Medical C are Center Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7925 NW 12th St
Ste 225
Doral, FL 33126
Phone (305) 362-1611
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Miami, FL
- NPI 1366949737
-
- Psychiatric/Mental Health Nurse Practitioner
- Hialeah, FL
- NPI 1639635964
-
- Clinical Social Worker
- Pembroke Pines, FL
- NPI 1215204433
-
- Psychiatry Physician
- Miami, FL
- NPI 1104357839
-
- Social Worker
- Doral, FL
- NPI 1992194518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687737600000",
"number": "1154932457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7925 NW 12TH ST STE 225",
"city": "DORAL",
"state": "FL",
"postal_code": "331261821",
"telephone_number": "305-788-6644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7925 NW 12TH ST STE 225",
"city": "DORAL",
"state": "FL",
"postal_code": "331261821",
"telephone_number": "305-788-6644"
}
],
"practiceLocations": [
{
"address_1": "7925 NW 12th St Ste 225",
"address_purpose": "LOCATION",
"city": "Doral",
"state": "FL",
"postal_code": "331261821",
"country_code": "US",
"telephone_number": "305-788-6644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MENTAL CARE MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-11",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A",
"authorized_official_last_name": "AMADOR RODRIGUEZ",
"authorized_official_first_name": "PEDRO",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "305-788-6644"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117263400",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107706300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110034600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medical C are Center Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.