Behavioral Momentum of Miami

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BEHAVIORAL MOMENTUM OF MIAMI

Practice address

10561 SW 122ND CT
Miami, FL 33186-3632

Phone

(305) 775-2489

NPI assigned

Jun 5, 2018

Reactivated

Oct 20, 2021

Last updated

Oct 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maykel Raul Mateo, LCSWNPI 1366899452

Title

President

Phone

(786) 390-1855

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Maykel Raul Mateo, LCSW

  • Behavior Analyst
  • Miami, FL
  • NPI 1366899452
  Authorized official Same address or phone

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1164914172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10561 SW 122ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863632",
            "telephone_number": "305-775-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10561 SW 122ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863632",
            "telephone_number": "305-775-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL MOMENTUM OF MIAMI",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "deactivation_date": "2021-08-27",
        "reactivation_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "MATEO",
        "authorized_official_first_name": "MAYKEL",
        "authorized_official_middle_name": "RAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-390-1855",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Behavioral Lighthouse, Inc.
• Behavioral Management Center Corp
• Behavioral Medicine Services of South Florida
• Behavioral Milestones Therapy
• Behavioral Milestones Therapy of Florida LLC (Behavioral Milestones Therapy)
• Behavioral Momentum, LLC
• Behavioral Neurodiversity Specialists Corp
• Behavioral Science, Corp.
• Behavioral Service Professional Group
• Behavioral Services Unlimited Inc

• Clinical Social Worker in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.