Individual provider Active NPI

Jorge Pinedo

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1245578863
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
14425 Country Walk Dr
Miami, FL 33186-8103
Phone
(786) 349-4700
NPI assigned
Jan 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X FL Primary
Student in an Organized Health Care Education/Training Program 390200000X FL

Addresses

Primary practice location

14425 Country Walk Dr
Miami, FL 33186-8103

Mailing address

15371 SW 77TH LN
Miami, FL 33193-1776
Phone (305) 904-4219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bethel Therapy Center Corp CurrentSince May 8, 2022 Accepting new patients
My Kid Speech and Occupational Corp PastSince Mar 13, 2022 Accepting new patients
My Kid Therapy Center Behavior Analyst PastSince Mar 13, 2022 Accepting new patients

Organizations & group practices 3

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": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1245578863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15371 SW 77TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331931776",
            "telephone_number": "305-904-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14425 COUNTRY WALK DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331868103",
            "telephone_number": "786-349-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEDO",
        "first_name": "JORGE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-17",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "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 Mar 10, 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.