NPIMap

Organization Active NPI

Juntos Behavioral & Mental Benefits Corp.

  • Multi-Specialty Clinic/Center
  • Miami, FL
National Provider Identifier
1174027247
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
JUNTOS BEHAVIORAL & MENTAL BENEFITS CORP.
Practice address
12001 SW 128TH CT Ste 104
Miami, FL 33186-4665
Phone
(786) 868-0505
Fax
(786) 513-4601
NPI assigned
Mar 22, 2018
Last updated
Aug 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Yanet Mirabal
Title
President
Phone
(786) 868-0505

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Registered Respiratory Therapist 227900000X NU
Speech-Language Pathologist 235Z00000X NU
Case Management Agency 251B00000X NU
Clinic/Center 261Q00000X NU
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Behavior Analyst 103K00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

12001 SW 128TH CT Ste 104
Miami, FL 33186-4665

Mailing address

12001 SW 128TH CT Ste 104
Miami, FL 33186-4665
Phone (786) 868-0505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211129000065 FL Part B Supplier - Clinic/Group Practice 6507256989 Receives reassigned benefits from 3 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Juntos Behavioral Mental Benefits Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1174027247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 SW 128TH CT STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864665",
            "telephone_number": "786-868-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 SW 128TH CT STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864665",
            "telephone_number": "786-868-0505",
            "fax_number": "786-513-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNTOS BEHAVIORAL & MENTAL BENEFITS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "MIRABAL",
        "authorized_official_first_name": "YANET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-868-0505"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 28, 2024; 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.

Verify at the official NPI Registry.