Active NPI
Miguel A Nerys-Chahin, M.S., NCC
- Mental Health Counselor
- Delray Beach, FL
National Provider Identifier
1174965743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH9550
- Practice address
- 440 SE 5TH Ave
Delray Beach, FL 33483-5211 - Phone
- (561) 755-7179
- NPI assigned
- Jul 24, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH9550 | FL | Primary |
Addresses
Primary practice location
440 SE 5TH Ave
Delray Beach, FL 33483-5211
Mailing address
440 SE 5TH Ave
Delray Beach, FL 33483-5211
Phone (561) 755-7179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2123 Franklin Dr NE
Palm Bay, FL 32905-4022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH9550 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Psychiatric Centers, Inc. | Mental Health | Current | Accepting new patients |
Locations
2123 Franklin Dr NE
Palm Bay, FL 32905
Phone (321) 724-1614
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562112000000",
"number": "1174965743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 SE 5TH AVE",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334835211",
"telephone_number": "561-755-7179",
"fax_number": "954-497-3857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 SE 5TH AVE",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334835211",
"telephone_number": "561-755-7179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NERYS-CHAHIN",
"first_name": "MIGUEL",
"middle_name": "A",
"credential": "M.S., NCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-24",
"last_updated": "2019-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH9550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.