NPIMap

Organization Active NPI

Light of Hope Behavior Therapy Inc

Doing business as Light of Hope Medical Center

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1407646052
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LIGHT OF HOPE BEHAVIOR THERAPY INC
Doing business as
Light of Hope Medical Center
Practice address
15190 SW 136TH St Ste 27
Miami, FL 33196-2618
Phone
(786) 701-3109
Fax
(305) 747-7166
NPI assigned
May 7, 2025
Last updated
May 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Tania H Perez Gonzalez
Title
President
Phone
(786) 701-3109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

15190 SW 136TH St Ste 27
Miami, FL 33196-2618

Mailing address

15190 SW 136TH St Ste 27
Miami, FL 33196-2618
Phone (786) 701-3109

Other names 1

  • Light of Hope Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Light of Hope Behavior Therapy Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1746576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1407646052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15190 SW 136TH ST STE 27",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962618",
            "telephone_number": "786-701-3109",
            "fax_number": "305-747-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15190 SW 136TH ST STE 27",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962618",
            "telephone_number": "786-701-3109",
            "fax_number": "305-747-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT OF HOPE BEHAVIOR THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "PEREZ GONZALEZ",
        "authorized_official_first_name": "TANIA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-701-3109"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Light of Hope Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 7, 2025; 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.