Organization Active NPI

B Well Community Center Corp

  • Mental Health Counselor
  • Doral, FL
National Provider Identifier
1467075002
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
B WELL COMMUNITY CENTER CORP
Practice address
10500 NW 26TH St Ste A102C
Doral, FL 33172-2158
Phone
(305) 646-1799
NPI assigned
May 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Carmen Salvador
Title
Ceo
Phone
(305) 773-8009

Specialties & licenses 1

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

Addresses

Primary practice location

10500 NW 26TH St Ste A102C
Doral, FL 33172-2158

Mailing address

10500 NW 26TH St Ste A102C
Doral, FL 33172-2158
Phone (305) 646-1799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210622000569 FL Part B Supplier - Clinic/Group Practice 4880095389 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

10500 NW 26th St
#A102C
Doral, FL 33172
Phone (305) 646-1799

10500 NW 26th St
Ste A102C
Doral, FL 33172
Phone (305) 646-1799

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": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1467075002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 NW 26TH ST STE A102C",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722158",
            "telephone_number": "305-646-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 NW 26TH ST STE A102C",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722158",
            "telephone_number": "305-646-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B WELL COMMUNITY CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "SALVADOR",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-773-8009"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.