Organization Active NPI

Kendall Behavioral Health Center, Inc

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1366861320
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9459 Issued in FL
Legal business name
KENDALL BEHAVIORAL HEALTH CENTER, INC
Practice address
10621 N Kendall Dr Ste 220
Miami, FL 33176-1530
Phone
(786) 402-8282
Fax
(786) 409-5773
NPI assigned
Apr 7, 2014
Last updated
Apr 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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

Authorized official

Name
Dania Velasco-Quintero, LMHC
Title
President
Phone
(786) 402-8282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH9459 FL Primary

Addresses

Primary practice location

10621 N Kendall Dr Ste 220
Miami, FL 33176-1530

Mailing address

10621 N. Kendall Drive Suite 220
Miami, FL 33176-8708
Phone (786) 402-8282

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1366861320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10621 N. KENDALL DRIVE SUITE 220",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331768708",
            "telephone_number": "786-402-8282",
            "fax_number": "786-409-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10621 N KENDALL DR STE 220",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761530",
            "telephone_number": "786-402-8282",
            "fax_number": "786-409-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL BEHAVIORAL HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "VELASCO-QUINTERO",
        "authorized_official_first_name": "DANIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-402-8282",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9459",
            "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 Apr 7, 2014; 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.