Therapeutic Alliance Community Mental Health Center Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

HCC7230 Issued in FL

Legal business name

THERAPEUTIC ALLIANCE COMMUNITY MENTAL HEALTH CENTER INC

Practice address

6405 NW 36TH St
Suite 100
Virginia Gardens, FL 33166-6974

Phone

(305) 871-3131

Fax

(305) 871-2727

NPI assigned

Jun 19, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Dayra L Bodan, PSY D

Title

President

Phone

(305) 871-3131

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Maria Mercedes Martin, LMHC

  • Mental Health Counselor
  • Virginia Gardens, FL
  • NPI 1467602649
  NPD (past)
• Jessica Pujals, LMHC AND LPC

  • Mental Health Counselor
  • Miami, FL
  • NPI 1477741551
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332547200000",
    "number": "1447295761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 NW 36TH ST",
            "address_2": "SUITE 100",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666974",
            "telephone_number": "305-871-3131",
            "fax_number": "305-871-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 NW 36TH ST",
            "address_2": "SUITE 100",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666974",
            "telephone_number": "305-871-3131",
            "fax_number": "305-871-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC ALLIANCE COMMUNITY MENTAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2012-03-24",
        "status": "A",
        "authorized_official_last_name": "BODAN",
        "authorized_official_first_name": "DAYRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-871-3131",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "HCC7230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "AD431",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sun Life Home Care,Inc
• Sun Med Supplies, Corp.
• Sunshine Physicians Network LLC
• Ernesto Tendero, THERAPIST
• Teraphy & Wellness Corp
• Therapy Associates of South Florida, Inc.
• Therapy Health Care LLC
• Therapy Sport Medical Corp
• Thomas P. Haban, D.C., P.a. (Sure Medical Center)
• Grisel Torres

• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia Gardens, FL
• Providers in Virginia Gardens, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2012; 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.