Blue Clinical Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BLUE CLINICAL CENTER LLC

Practice address

900 W 49TH St Hialeah
Ste B001
Hialeah, FL 33012

Phone

(786) 663-2822

NPI assigned

Dec 18, 2025

Organization subpart

Yes

Parent organization

BLUE CLINICAL CENTER LLCAs reported in NPPES

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

Authorized official

Name

Alexandra Codecido

Title

Administrator

Phone

(786) 663-2822

Specialties & licenses 1

Addresses

Tax ID family

Blue Clinical Center LLC3 organizations share this tax ID, including this one

Part of

Blue Clinical Center LLC

Other organizations with this tax ID 2

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

• Blue Clinical Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1093590242
  NPD tax ID
• Blue Clinical Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Myers, FL
  • NPI 1417774597
  NPD tax ID

Locations

Practitioners 1

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

• Hernan D Pabon, MD

  • Psychiatry Physician
  • Miami, FL
  • NPI 1669683751
  NPD

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

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1528923901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W 49TH ST HIALEAH",
            "address_2": "STE B001",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "786-663-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 49TH ST HIALEAH",
            "address_2": "STE B001",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "786-663-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE CLINICAL CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUE CLINICAL CENTER LLC",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "CODECIDO",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-663-2822"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blooming Health LLC
• Blooming Potentials Corp
• Blossom ABA Services LLC
• Blossom Aid Community Services LLC
• Blue Angels Behavior Therapy LLC
• Blue Dandelion Integrative Therapy, LLC
• Blue Health Care, Inc
• Blue Heaven Rehabilitation Inc
• Blue Heaven Rehabilitation Inc
• Blue Horizon Rehab Medical, Corp.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.