Professional Behavioral & Mental Health Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PROFESSIONAL BEHAVIORAL & MENTAL HEALTH INC

Practice address

11780 SW 89TH St Ste 204
Miami, FL 33186-2181

Phone

(786) 587-7449

NPI assigned

Oct 3, 2019

Organization subpart

No

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

Authorized official

Name

Juan R Reyes

Title

President

Phone

(786) 587-7449

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 4

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

• Derrick Henry Diaz, MD

  • Family Medicine Physician
  • Hialeah, FL
  • NPI 1629568340
  Medicare reassignment NPD
• Mayelin Morales

  • Mental Health Counselor
  • Tavernier, FL
  • NPI 1790220911
  Medicare reassignment NPD
• Elizabeth Potter, DO

  • Psychiatry Physician
  • Boca Raton, FL
  • NPI 1942691720
  Medicare reassignment NPD
• Mariley Corcho, BSN

  • Mental Health Counselor
  • Miami, FL
  • NPI 1326727876

  Single Specialty

  NPD

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1295376960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11780 SW 89TH ST STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862181",
            "telephone_number": "786-587-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11780 SW 89TH ST STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862181",
            "telephone_number": "786-587-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL BEHAVIORAL & MENTAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-587-7449"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Proenza
• Profesional Mental Health Corp
• Professional Advanced Adult Day Care LLC (The Senior Club)
• Professional Behavior Analysis Therapy Inc
• Professional Behavior Therapy Corp
• Professional Behavioral Consultants LLC
• Professional Care Associates
• Professional Care Center LLC
• Professional Care Diagnostic Inc
• Professional Care DME Inc.

• Community/Behavioral Health Agency in Miami, FL
• Providers in Miami, 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 Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.