Individual provider Active NPI

Manuel Enrique Cerda, LCSW

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1306810882
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
017636300 Issued in FL
Practice address
9107 SW 151 Ave Rd
Miami, FL 33196
Phone
(786) 357-7805
Fax
(305) 382-3813
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW0004511 FL
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 017636300 FL Primary

Addresses

Primary practice location

9107 SW 151 Ave Rd
Miami, FL 33196

Mailing address

9107 SW 151 Ave Rd
Miami, FL 33196
Phone (786) 357-7805

Other identifiers 3

IdentifierTypeStateIssuer
SW0004511OtherFLLICENSE
017636300MedicaidFL
Z7740OtherFLBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL alexcerda1998@icloud.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
017636300FLMDBehavioral Analyst
SW0004511FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
United Home Care Services, Inc. Single Specialty Past Accepting new patients
Advanced Mental Health Clinic Inc Behavior Analyst Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1306810882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9107 SW 151 AVE RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33196",
            "telephone_number": "786-357-7805",
            "fax_number": "305-382-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9107 SW 151 AVE RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33196",
            "telephone_number": "786-357-7805",
            "fax_number": "305-382-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERDA",
        "first_name": "MANUEL",
        "middle_name": "ENRIQUE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0004511",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "017636300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "SW0004511",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017636300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z7740",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "alexcerda1998@icloud.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "9107 SW 151 Ave Rd",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 2, 2019; 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.