NPIMap

Organization Active NPI

Nirvana Clinic Center LLC

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1306554936
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
NIRVANA CLINIC CENTER LLC
Practice address
8765 SW 165TH Ave Ste 105
Miami, FL 33193-5832
Phone
(786) 577-0024
NPI assigned
Nov 14, 2022
Organization subpart
Yes
Parent organization
NIRVANA CLINIC CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Daniela Manno
Title
Owner
Phone
(786) 577-0024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

8765 SW 165TH Ave Ste 105
Miami, FL 33193-5832

Mailing address

8765 SW 165TH Ave Ste 105
Miami, FL 33193-5832
Phone (786) 577-0024

National Provider Directory

National Provider Directory
Tax ID family
Nirvana Clinic Center LLC3 organizations share this tax ID, including this one
Part of
Nirvana Clinic Center LLC

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1306554936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 SW 165TH AVE STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935832",
            "telephone_number": "786-577-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 SW 165TH AVE STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935832",
            "telephone_number": "786-577-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRVANA CLINIC CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NIRVANA CLINIC CENTER LLC",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-12",
        "status": "A",
        "authorized_official_last_name": "MANNO",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-577-0024"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.