NPIMap

Organization Active NPI

Maxwell Foundation Inc

  • Community/Behavioral Health Agency
  • Miami Lakes, FL
National Provider Identifier
1346511755
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MAXWELL FOUNDATION INC
Doing business as
MGM Behavioral
Practice address
14411 Commerce Way
320
Miami Lakes, FL 33016-1596
Phone
(305) 827-2822
Fax
(305) 827-2819
NPI assigned
Jan 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Saimary Rivero
Title
Executive Director
Phone
(305) 827-2822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

14411 Commerce Way
320
Miami Lakes, FL 33016-1596

Mailing address

14411 Commerce Way
320
Miami Lakes, FL 33016-1596
Phone (305) 827-2822

Other names 1

  • MGM Behavioral Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1346511755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14411 COMMERCE WAY",
            "address_2": "320",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161596",
            "telephone_number": "305-827-2822",
            "fax_number": "305-827-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 COMMERCE WAY",
            "address_2": "320",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161596",
            "telephone_number": "305-827-2822",
            "fax_number": "305-827-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXWELL FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "RIVERO",
        "authorized_official_first_name": "SAIMARY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "305-827-2822"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MGM Behavioral",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.