Spectrum Mental Health Corp

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SPECTRUM MENTAL HEALTH CORP

Practice address

1901 W Flagler St Ste 7
Miami, FL 33135-1677

Phone

(786) 457-8256

NPI assigned

Oct 5, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Rafael Mario Prado

Title

President

Phone

(786) 457-8256

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Spectrum Mental Health Corp2 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.

• Spectrum Mental Health Corp

  • General Practice Physician
  • Miami, FL
  • NPI 1770438145
  NPD tax ID

Locations

Practitioners 3

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

• Grettel Carballo, LMHC

  • Behavior Analyst
  • Miami Lakes, FL
  • NPI 1073185864
  Medicare reassignment NPD
• Victor Gonzalez

  • Psychiatric/Mental Health Nurse Practitioner
  • Doral, FL
  • NPI 1083076905
  Medicare reassignment NPD
• Yonatan Colon Rivera, M.D.

  • Psychosomatic Medicine Physician
  • Mayaguez, PR
  • NPI 1144777517

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1487435418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W FLAGLER ST STE 7",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351677",
            "telephone_number": "786-457-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W FLAGLER ST STE 7",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351677",
            "telephone_number": "786-457-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM MENTAL HEALTH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "PRADO",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "MARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-457-8256",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth A. Spector, MD
• Spectrum Analytics Consulting Inc.
• Spectrum Discovery Center Inc
• Spectrum Florida Inc
• Spectrum Medical Care Inc
• Spectrum Mental Health Corp
• Spectrum Primary Care, LLC
• Spectrum Solutions 4Kids Inc
• Spectrum Success Therapy Inc.
• Speech - Occupational & Rehabilitation Services, Inc

• Community/Behavioral Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.