NPIMap

Organization Active NPI

Advanced Mental Health Clinic Inc

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1386312510
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ADVANCED MENTAL HEALTH CLINIC INC
Practice address
13055 SW 42ND St Ste 104
Miami, FL 33175-3470
Phone
(305) 480-7839
Fax
(305) 480-7892
NPI assigned
Sep 2, 2021
Last updated
Sep 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Lucia Carreno
Title
Ceo
Phone
(305) 480-7839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

13055 SW 42ND St Ste 104
Miami, FL 33175-3470

Mailing address

13055 SW 42ND St Ste 104
Miami, FL 33175-3470
Phone (305) 480-7839

National Provider Directory

National Provider Directory
Tax ID family
Advanced Mental Health Clinic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1386312510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13055 SW 42ND ST STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753470",
            "telephone_number": "305-480-7839",
            "fax_number": "305-480-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13055 SW 42ND ST STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753470",
            "telephone_number": "305-480-7839",
            "fax_number": "305-480-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MENTAL HEALTH CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "CARRENO",
        "authorized_official_first_name": "LUCIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-480-7839"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "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 Sep 2, 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.