Organization Active NPI

Mentis Behavioral Center Inc

  • Community Health Clinic/Center
  • Miami, FL
National Provider Identifier
1386222362
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
MENTIS BEHAVIORAL CENTER INC
Practice address
10021 SW 40TH St
Miami, FL 33165-3945
Phone
(305) 857-7779
NPI assigned
Mar 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Octavio Rodriguez
Title
MNGR
Phone
(786) 431-5267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

10021 SW 40TH St
Miami, FL 33165-3945

Mailing address

10021 SW 40TH St
Miami, FL 33165-3945
Phone (305) 857-7779

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1386222362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10021 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653945",
            "telephone_number": "305-857-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10021 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653945",
            "telephone_number": "305-857-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTIS BEHAVIORAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "OCTAVIO",
        "authorized_official_title_or_position": "MNGR",
        "authorized_official_telephone_number": "786-431-5267"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "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 Mar 31, 2021; 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.