Organization Active NPI

Miami Bridge Youth & Family Services, Inc.

  • Community/Behavioral Health Agency
  • Homestead, FL
National Provider Identifier
1568894111
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
100029078 Issued in FL
Legal business name
MIAMI BRIDGE YOUTH & FAMILY SERVICES, INC.
Practice address
326 NW 3Rd Ave
Homestead, FL 33030-5805
Phone
(305) 246-8956
Fax
(305) 242-8222
NPI assigned
Aug 6, 2013
Last updated
Aug 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Authorized official

Name
Ms. Mary Andrews, M.S., CRC
Title
Chief Executive Officer
Phone
(305) 636-3520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 100029078 FL Primary

Addresses

Primary practice location

326 NW 3Rd Ave
Homestead, FL 33030-5805

Mailing address

2810 NW South River Dr
Miami, FL 33125-1120
Phone (305) 635-8953

National Provider Directory

National Provider Directory
Tax ID family
Miami Bridge Youth Family Services Inc2 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.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1568894111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 NW SOUTH RIVER DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251120",
            "telephone_number": "305-635-8953",
            "fax_number": "305-636-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 NW 3RD AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330305805",
            "telephone_number": "305-246-8956",
            "fax_number": "305-242-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI BRIDGE YOUTH & FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "305-636-3520",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., CRC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "100029078",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 6, 2013; 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.