Organization Active NPI

M.a.D. for You Inc

Doing business as Making A Difference For You, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pembroke Pines, FL
National Provider Identifier
1225085343
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
M.A.D. FOR YOU INC
Doing business as
Making A Difference For You, Inc
Practice address
1900 N University Dr Ste 103
Pembroke Pines, FL 33024
Phone
(954) 435-3683
Fax
(954) 435-2263
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Authorized official

Name
Dr. Margret Rose Camille Dellosso, PSYDNPI 1528157864
Title
President
Phone
(954) 435-3683

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1900 N University Dr Ste 103
Pembroke Pines, FL 33024

Mailing address

1900 N University Dr Ste 103
Pembroke Pines, FL 33024-3618
Phone (954) 435-3683

Other names 1

  • Making A Difference For You, Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060303000545 FL Part B Supplier - Clinic/Group Practice 4082620729 Receives reassigned benefits from 2 practitioners
Practice locations: Pembroke Pines, FL

National Provider Directory

National Provider Directory

Locations

1900 N University Dr
Ste 103
Pembroke Pines, FL 33024
Phone (954) 435-3683

Practitioners & affiliated clinicians

Practitioners 2

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": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1225085343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N UNIVERSITY DR STE 103",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243618",
            "telephone_number": "954-435-3683",
            "fax_number": "954-435-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N UNIVERSITY DR STE 103",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-435-3683",
            "fax_number": "954-435-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.A.D. FOR YOU INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "DELLOSSO",
        "authorized_official_first_name": "MARGRET ROSE",
        "authorized_official_middle_name": "CAMILLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-435-3683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Making A Difference For You, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.