Organization Active NPI

Epic Behavioral Group, LLC

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1235867714
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EPIC BEHAVIORAL GROUP, LLC
Practice address
760 NW 107TH Ave Ste 208
Miami, FL 33172-3155
Phone
(305) 878-9287
NPI assigned
Aug 11, 2022
Last updated
Aug 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Claudia Gatica, MSPNPI 1023402831
Title
President
Phone
(305) 318-0841

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

760 NW 107TH Ave Ste 208
Miami, FL 33172-3155

Mailing address

7666 SW 193Rd LN
Cutler Bay, FL 33157-7395

National Provider Directory

National Provider Directory

Locations

760 NW 107th Ave
Ste 208
Miami, FL 33172
Phone (305) 878-9287

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1235867714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7666 SW 193RD LN",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 NW 107TH AVE STE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331723155",
            "telephone_number": "305-878-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC BEHAVIORAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "GATICA",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-318-0841",
        "authorized_official_credential": "MSP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 11, 2022; 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.