NPIMap

Organization Active NPI

Kristi House

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1356680797
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW11065 Issued in FL
Legal business name
KRISTI HOUSE
Practice address
18441 NW 2ND Ave
Suite 500
Miami, FL 33169-4517
Phone
(305) 249-0521
NPI assigned
Feb 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Authorized official

Name
Mrs. Tyisha Deroneth, LCSW
Title
Therapist
Phone
(305) 249-0521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SW11065 FL Primary

Addresses

Primary practice location

18441 NW 2ND Ave
Suite 500
Miami, FL 33169-4517

Mailing address

18441 NW 2ND Ave
Suite 500
Miami, FL 33169-4517
Phone (305) 249-0521

National Provider Directory

National Provider Directory
Tax ID family
Kristi House6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

18441 NW 2nd Ave
Ste 500
Miami Gardens, FL 33169
Phone (305) 249-0521

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": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1356680797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18441 NW 2ND AVE",
            "address_2": "SUITE 500",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694517",
            "telephone_number": "305-249-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18441 NW 2ND AVE",
            "address_2": "SUITE 500",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694517",
            "telephone_number": "305-249-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTI HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "DERONETH",
        "authorized_official_first_name": "TYISHA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "305-249-0521",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW11065",
            "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 Feb 5, 2013; 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.