Organization Active NPI

Membership Therapy Center, C.M.H.C., Inc.

  • Community/Behavioral Health Agency
  • Cutler Bay, FL
National Provider Identifier
1356654859
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH4025 Issued in FL
Legal business name
MEMBERSHIP THERAPY CENTER, C.M.H.C., INC.
Practice address
10680 SW 186TH St Ste 36
Cutler Bay, FL 33157-6720
Phone
(305) 969-9448
Fax
(305) 969-9748
NPI assigned
Jul 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Mrs. Dorcas Iris De Jesus, MS STUDENT
Title
Office Manager /Registered Agent
Phone
(786) 413-8487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH4025 FL Primary

Addresses

Primary practice location

10680 SW 186TH St Ste 36
Cutler Bay, FL 33157-6720

Mailing address

10680 SW 186TH St Ste 36
Cutler Bay, FL 33157-6720
Phone (305) 969-9448

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1356654859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10680 SW 186TH ST STE 36",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576720",
            "telephone_number": "305-969-9448",
            "fax_number": "305-969-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10680 SW 186TH ST STE 36",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576720",
            "telephone_number": "305-969-9448",
            "fax_number": "305-969-9748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMBERSHIP THERAPY CENTER, C.M.H.C., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "DORCAS",
        "authorized_official_middle_name": "IRIS",
        "authorized_official_title_or_position": "OFFICE MANAGER /REGISTERED AGENT",
        "authorized_official_telephone_number": "786-413-8487",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS STUDENT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH4025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.