Odeley Mental Health Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ODELEY MENTAL HEALTH INC

Practice address

2456 SW 17TH St
Miami, FL 33145-2002

Phone

(703) 501-8550

NPI assigned

Nov 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Pablo Odeley Puente Fumero, PMH1200

Title

Ceo

Phone

(703) 501-8550

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415664000000",
    "number": "1306242870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2456 SW 17TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452002",
            "telephone_number": "703-501-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2456 SW 17TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452002",
            "telephone_number": "703-501-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODELEY MENTAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "last_updated": "2014-11-11",
        "status": "A",
        "authorized_official_last_name": "PUENTE FUMERO",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "ODELEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-501-8550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PMH1200"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Nov 11, 2014; 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.