NPIMap

Organization Active NPI

Golden Years Behavioral Center Corp

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1447859137
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GOLDEN YEARS BEHAVIORAL CENTER CORP
Doing business as
Golden Years Behavioral Center Corp
Practice address
12955 SW 42ND St Ste 2
Miami, FL 33175-2928
Phone
(859) 803-3561
NPI assigned
Oct 22, 2020
Last updated
Apr 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Gleys J Perez Martinez
Title
VP
Phone
(702) 690-0319

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Family Medicine Physician 207Q00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

12955 SW 42ND St Ste 2
Miami, FL 33175-2928

Mailing address

12955 SW 42ND St Ste 2
Miami, FL 33175-2928
Phone (786) 491-4947

Other names 1

  • GOLDEN YEARS BEHAVIORAL CENTER CORP Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL MAIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210818002915 FL Part B Supplier - Clinic/Group Practice 1951706662 Receives reassigned benefits from 5 practitioners
Practice locations: Miami, FL
O20221213000127 FL Part A Provider - Community Mental Health Center 1951706662 Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Golden Health Care2 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.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1447859137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12955 SW 42ND ST STE 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752928",
            "telephone_number": "786-491-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12955 SW 42ND ST STE 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752928",
            "telephone_number": "859-803-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN YEARS BEHAVIORAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "PEREZ MARTINEZ",
        "authorized_official_first_name": "GLEYS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "702-690-0319"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MAIL",
            "affiliation": "N",
            "address_1": "12955 SW 42nd St Ste 2",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331752928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "GOLDEN YEARS BEHAVIORAL CENTER CORP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GOLDEN YEARS BEHAVIORAL CENTER CORP",
            "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 Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.