Organization Active NPI

TCM Community Services of Mental Health LLC

  • Case Management Agency
  • Hallandale Beach, FL
National Provider Identifier
1417430976
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
TCM COMMUNITY SERVICES OF MENTAL HEALTH LLC
Practice address
221 W Hallandale Beach Blvd Ste 203
Hallandale Beach, FL 33009-5441
Phone
(954) 496-0902
NPI assigned
Sep 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Authorized official

Name
Lyda BetancourtNPI 1609316744
Title
President
Phone
(954) 496-0902

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

221 W Hallandale Beach Blvd Ste 203
Hallandale Beach, FL 33009-5441

Mailing address

221 W Hallandale Beach Blvd Ste 203
Hallandale Beach, FL 33009-5441
Phone (954) 496-0902

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1417430976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W HALLANDALE BEACH BLVD STE 203",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095441",
            "telephone_number": "954-496-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W HALLANDALE BEACH BLVD STE 203",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095441",
            "telephone_number": "954-496-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCM COMMUNITY SERVICES OF MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT",
        "authorized_official_first_name": "LYDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-496-0902"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.