Organization Active NPI

Open Arms Community Mental Health Center

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1164722658
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OPEN ARMS COMMUNITY MENTAL HEALTH CENTER
Practice address
10645 NW 7TH Ave
Suite 103-104
Miami, FL 33150-1066
Phone
(305) 456-9784
Fax
(786) 953-6528
NPI assigned
Oct 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Authorized official

Name
Mr. Edwin Phillip ServiusNPI 1922731686
Title
Ceo
Phone
(305) 751-8371

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

10645 NW 7TH Ave
Suite 103-104
Miami, FL 33150-1066

Mailing address

10645 NW 7TH Ave
Suite 103-104
Miami, FL 33150-1066
Phone (305) 751-8373

Other identifiers 1

IdentifierTypeStateIssuer
105887100MedicaidFL

National Provider Directory

National Provider Directory

Locations

10645 NW 7th Ave
Ste 103104
Miami, FL 33150
Phone (305) 456-9784

10645 NW 7th Ave
Miami, FL 33150
Phone (305) 751-8373

10645 NW 7th Ave
#103104
Miami, FL 33150
Phone (305) 456-9784

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 5

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": "1288396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1164722658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10645 NW 7TH AVE",
            "address_2": "SUITE 103-104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331501066",
            "telephone_number": "305-751-8373",
            "fax_number": "305-751-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10645 NW 7TH AVE",
            "address_2": "SUITE 103-104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331501066",
            "telephone_number": "305-456-9784",
            "fax_number": "786-953-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS COMMUNITY MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-30",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "SERVIUS",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-751-8371",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105887100",
            "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 Jul 8, 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.