NPIMap

Organization Active NPI

My Kid Therapy Center

  • Behavior Analyst
  • Homestead, FL
National Provider Identifier
1467955658
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MY KID THERAPY CENTER
Practice address
1180 N Krome Ave
Homestead, FL 33030
Phone
(786) 349-4700
NPI assigned
Mar 14, 2018
Organization subpart
Yes
Parent organization
MY KID THERAPY CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Grettel Castillo
Title
President
Phone
(786) 349-4700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Developmentally Disabled Services Day Training Agency 251C00000X

Addresses

Primary practice location

1180 N Krome Ave
Homestead, FL 33030

Mailing address

1180 N Krome Ave
Homestead, FL 33030-4413
Phone (786) 349-4700

Other identifiers 1

IdentifierTypeStateIssuer
017427600MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
My Kid Therapy Center4 organizations share this tax ID, including this one
Part of
My Kid Therapy Center

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1180 N Krome Ave
Homestead, FL 33030
Phone (786) 349-4700

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1467955658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304413",
            "telephone_number": "786-349-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "33030",
            "telephone_number": "786-349-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY KID THERAPY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MY KID THERAPY CENTER",
        "enumeration_date": "2018-03-14",
        "last_updated": "2023-02-23",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "GRETTEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-349-4700"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017427600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.