Organization Active NPI

Survivors Pathway Center

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1407132301
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH8226 Issued in FL
Legal business name
SURVIVORS PATHWAY CENTER
Practice address
1801 Coral Way
Ofc 411
Miami, FL 33145-2790
Phone
(305) 299-1957
Fax
(786) 484-0411
NPI assigned
Oct 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Authorized official

Name
Mr. Francesco Duberli Rivera, M.S
Title
President
Phone
(305) 299-1957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X IMH8226 FL Primary

Addresses

Primary practice location

1801 Coral Way
Ofc 411
Miami, FL 33145-2790

Mailing address

1801 Coral Way
Ofc 411
Miami, FL 33145-2790
Phone (305) 299-1957

National Provider Directory

National Provider Directory

Locations

1801 SW 22nd St
Ste 411
Miami, FL 33145
Phone (305) 299-1957

NPI Registry JSON

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1407132301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 CORAL WAY",
            "address_2": "OFC 411",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452790",
            "telephone_number": "305-299-1957",
            "fax_number": "786-484-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 CORAL WAY",
            "address_2": "OFC 411",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452790",
            "telephone_number": "305-299-1957",
            "fax_number": "786-484-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURVIVORS PATHWAY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "FRANCESCO",
        "authorized_official_middle_name": "DUBERLI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-299-1957",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH8226",
            "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 Oct 24, 2011; 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.