Organization Active NPI

Miami Beach Mood and ADHD Therapies LLC

  • Child & Adolescent Psychiatry Physician
  • Weston, FL
National Provider Identifier
1174177554
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
MIAMI BEACH MOOD AND ADHD THERAPIES LLC
Practice address
2813 Executive Park Dr Ste 126
Weston, FL 33331-3603
Phone
(954) 247-1557
Fax
(786) 633-3688
NPI assigned
Jul 24, 2019
Last updated
Jan 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Mauricio Enrique Rodriguez, MDNPI 1568860419
Title
Psychiatrist/Owner
Phone
(786) 398-2477

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
Child & Adolescent Psychiatry Physician 2084P0804X Primary

Addresses

Primary practice location

2813 Executive Park Dr Ste 126
Weston, FL 33331-3603

Mailing address

2813 Executive Park Dr Ste 126
Weston, FL 33331-3603
Phone (954) 247-1557

National Provider Directory

National Provider Directory

Locations

2813 Executive Park Dr
Ste 126
Weston, FL 33331
Phone (954) 247-1557

Practitioners & affiliated clinicians

Practitioners 2

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": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1174177554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 EXECUTIVE PARK DR STE 126",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313603",
            "telephone_number": "954-247-1557",
            "fax_number": "786-633-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 EXECUTIVE PARK DR STE 126",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313603",
            "telephone_number": "954-247-1557",
            "fax_number": "786-633-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI BEACH MOOD AND ADHD THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MAURICIO",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "PSYCHIATRIST/OWNER",
        "authorized_official_telephone_number": "786-398-2477",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.