Psychosocial Rehabilitation Center Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PSYCHOSOCIAL REHABILITATION CENTER INC

Practice address

9827 E Hibiscus St
Palmetto Bay, FL 33157-5406

Phone

(305) 667-1036

Fax

(305) 667-4938

NPI assigned

Aug 9, 2021

Organization subpart

No

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

Authorized official

Name

Marta L Sanchez

Title

Vice President of Operations

Phone

(305) 667-1036

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fellowship House Doing business as

Tax ID family

Fellowship House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Psychosocial Rehabilitation Center Inc

  • Community/Behavioral Health Agency
  • South Miami, FL
  • NPI 1174526743
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Rizo, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Coral Springs, FL
  • NPI 1356819007
  NPD
• Rosemary Juliana Smith Hoel, LMHC, CAP

  • Mental Health Counselor
  • South Miami, FL
  • NPI 1275692451
  NPD

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1255005658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 S DIXIE HWY",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433694",
            "telephone_number": "305-667-1036",
            "fax_number": "305-667-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9827 E HIBISCUS ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575406",
            "telephone_number": "305-667-1036",
            "fax_number": "305-667-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOSOCIAL REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "MARTA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "305-667-1036"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060333317",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fellowship House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pro-Med Supplies LLC
• Promed Preferred FL PLLC
• Promise Health Corp
• Prostocare of South Florida, Inc
• Psychological Consultation Services, P.a.
• Public Health Trust of Dade County Florida
• Public Health Trust of Dade County, Florida
• Public Health Trust of Miami Dade County Florida
• Public Health Trust of Miami Dade County Florida
• Public Health Trust of Miami Dade County Florida

• Community/Behavioral Health Agency in Palmetto Bay, FL
• Providers in Palmetto Bay, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.