NPIMap

Organization Active NPI

Gomez Behavioral Solution, LLC

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1285400515
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GOMEZ BEHAVIORAL SOLUTION, LLC
Practice address
1150 NW 72ND Ave Ste 350
Miami, FL 33126-1947
Phone
(786) 228-7801
Fax
(786) 533-8000
NPI assigned
Nov 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Mailyn Hernandez
Title
Owner/ Officer
Phone
(786) 228-7801

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary
Clinic/Center 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1150 NW 72ND Ave Ste 350
Miami, FL 33126-1947

Mailing address

1150 NW 72ND Ave Ste 350
Miami, FL 33126-1947
Phone (786) 228-7801

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240315001295 FL Part B Supplier - Clinic/Group Practice 7315383023 Receives reassigned benefits from 15 practitioners
Practice locations: Miami, FL

Community mental health center certification: CCN 684697

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
GOMEZ BEHAVIORAL SOLUTION LLC
Certification status
Active
Provider type (POS)
Community mental health center
Participating since
Dec 12, 2025
Last certification
Sep 19, 2025
Ownership / control type
For profit – individual
Facility address
1150 NW 72ND Ave Ste 350
Miami, FL 33126

National Provider Directory

National Provider Directory

Locations

1150 NW 72nd Ave
Ste 350
Miami, FL 33126
Phone (305) 591-1606

1150 NW 72nd Ave
Ste 540
Miami, FL 33126

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1285400515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 NW 72ND AVE STE 350",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261947",
            "telephone_number": "786-228-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NW 72ND AVE STE 350",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261947",
            "telephone_number": "786-228-7801",
            "fax_number": "786-533-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOMEZ BEHAVIORAL SOLUTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MAILYN",
        "authorized_official_title_or_position": "OWNER/ OFFICER",
        "authorized_official_telephone_number": "786-228-7801"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.