Premiere Mental Health LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PREMIERE MENTAL HEALTH LLC

Practice address

7600 W 20TH Ave Ste 103
Hialeah, FL 33016-1895

Phone

(305) 469-6513

NPI assigned

Dec 29, 2020

Last updated

Mar 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Gladys Fernandez

Title

Ceo

Phone

(305) 469-6513

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1295322881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 W 20TH AVE STE 103",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161895",
            "telephone_number": "305-469-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 W 20TH AVE STE 103",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161895",
            "telephone_number": "305-469-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-469-6513",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.