Active NPI
Manuel Enrique Cerda, LCSW
- Behavior Analyst
- Miami, FL
National Provider Identifier
1306810882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 017636300
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW0004511 | FL | |
| Behavior Analyst | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW0004511 | Other | FL | LICENSE |
| 017636300 | Medicaid | FL | |
| Z7740 | Other | FL | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 017636300 | FL | MD | Behavioral Analyst |
| SW0004511 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
- NPI 1285676494
Behavior Analyst
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.