Organization Active NPI

Innovation Clinical Trials Inc

Doing business as Innovation Community Mental Health

  • Case Management Agency
  • Palmetto Bay, FL
National Provider Identifier
1528873908
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
INNOVATION CLINICAL TRIALS INC
Doing business as
Innovation Community Mental Health
InnovationCommunity Mantal Health
Practice address
9000 SW 152ND St Ste 202
Palmetto Bay, FL 33157-1942
Phone
(786) 298-5170
Fax
(786) 587-1524
NPI assigned
Feb 11, 2025
Last updated
Feb 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Authorized official

Name
Mr. Yoelsi Perez
Title
Owner
Phone
(786) 298-5170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

9000 SW 152ND St Ste 202
Palmetto Bay, FL 33157-1942

Mailing address

9000 SW 152ND St Ste 202
Palmetto Bay, FL 33157-1942
Phone (786) 298-5170

Other names 2

  • Innovation Community Mental Health Doing business as
  • InnovationCommunity Mantal Health Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2171790Innovation Clinical Trials, Inc9000 SW 152ND St Suites 202 & 203, Miami, FL 33157Certificate of waiverSep 9, 2027

National Provider Directory

National Provider Directory

Locations

9000 SW 152nd St
Ste 202
Palmetto Bay, FL 33157
Phone (305) 255-1362

NPI Registry JSON

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1528873908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 SW 152ND ST STE 202",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571942",
            "telephone_number": "786-298-5170",
            "fax_number": "786-587-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 SW 152ND ST STE 202",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571942",
            "telephone_number": "786-298-5170",
            "fax_number": "786-587-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATION CLINICAL TRIALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "YOELSI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-298-5170",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovation Community Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "InnovationCommunity Mantal Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.