Organization Active NPI

Therapeutic Behavioral Assessment

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1366683310
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PY 7870 Issued in FL
Legal business name
THERAPEUTIC BEHAVIORAL ASSESSMENT
Practice address
8200 SW 117TH Ave
Suite 306
Miami, FL 33183-3856
Phone
(305) 274-0640
Fax
(305) 274-0630
NPI assigned
Mar 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Authorized official

Name
Dr. Harry Damus, PSY.D.NPI 1992935019
Title
Psychologist
Phone
(305) 274-0640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PY 7870 FL Primary

Addresses

Primary practice location

8200 SW 117TH Ave
Suite 306
Miami, FL 33183-3856

Mailing address

8200 SW 117TH Ave
Suite 306
Miami, FL 33183-3856
Phone (305) 274-0640

Other identifiers 2

IdentifierTypeStateIssuer
004477900MedicaidFL
687253196MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090729000739 FL Part B Supplier - Clinic/Group Practice 7214080811 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

8200 SW 117th Ave
Ste 306
Miami, FL 33183
Phone (305) 274-0640

9000 SW 137th Ave
Ste 216
Miami, FL 33186
Phone (305) 382-9174

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": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1366683310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 SW 117TH AVE",
            "address_2": "SUITE 306",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331833856",
            "telephone_number": "305-274-0640",
            "fax_number": "305-274-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 SW 117TH AVE",
            "address_2": "SUITE 306",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331833856",
            "telephone_number": "305-274-0640",
            "fax_number": "305-274-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC BEHAVIORAL ASSESSMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "DAMUS",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "305-274-0640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "PY 7870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004477900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687253196",
            "state": "FL"
        }
    ],
    "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 Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.