NPIMap

Organization Active NPI

My Kid Therapy Center

  • Behavior Analyst
  • Homestead, FL
National Provider Identifier
1275987109
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MY KID THERAPY CENTER
Practice address
49 NW 17 St
Homestead, FL 33030-3210
Phone
(786) 349-4700
Fax
(786) 349-4862
NPI assigned
Apr 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Authorized official

Name
Grettel Castillo
Title
President
Phone
(786) 349-4700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Developmentally Disabled Services Day Training Agency 251C00000X

Addresses

Primary practice location

49 NW 17 St
Homestead, FL 33030-3210

Mailing address

49 NW 17 St
Homestead, FL 33030-3210
Phone (786) 349-4700

National Provider Directory

National Provider Directory
Tax ID family
My Kid Therapy Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

49 NW 17th St
Homestead, FL 33030
Phone (786) 349-4700

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1275987109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 NW 17 ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330303210",
            "telephone_number": "786-349-4700",
            "fax_number": "786-349-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 NW 17 ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330303210",
            "telephone_number": "786-349-4700",
            "fax_number": "786-349-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY KID THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "GRETTEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-349-4700"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.