Keter Behavioral Center LLC

Primary specialty

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

Legal business name

KETER BEHAVIORAL CENTER LLC

Practice address

5190 NW 167TH St
Ste 109
Hialeah, FL 33014-6328

Phone

(305) 620-4929

Fax

(305) 620-4954

NPI assigned

May 9, 2006

Last updated

Aug 30, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raquel B Mendez

Title

Manager

Phone

(305) 650-4929

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel F Mandri, MD

  • Psychiatry Physician
  • Miami, FL
  • NPI 1013966704
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1558310169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST",
            "address_2": "STE 109",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330146328",
            "telephone_number": "305-620-4929",
            "fax_number": "305-620-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST",
            "address_2": "STE 109",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330146328",
            "telephone_number": "305-620-4929",
            "fax_number": "305-620-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETER BEHAVIORAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-650-4929"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Strubbe, MD, PA
• Kentucky Medical Services Inc
• Keri M Pomella OD PA
• Keri M Pomella, OD PA
• Joel Kertznus, M.D.
• Key2Enable Assistive Technology, Inc.
• Hassan Khan
• Irfa Khan, MD
• Kubra Khan
• Shana Valliani Khan, C.R.N.A.

• 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 Aug 30, 2007; 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.