Individual provider Active NPI

Melvys Penate Juviel

  • Behavior Analyst
  • Hialeah, FL
National Provider Identifier
1568997450
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-46053 Issued in FL
Practice address
2548 W 64TH PL
Hialeah, FL 33016-6318
Phone
(786) 675-2023
NPI assigned
Apr 27, 2017
Last updated
Apr 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 1-20-46053 FL Primary

Addresses

Primary practice location

2548 W 64TH PL
Hialeah, FL 33016-6318

Mailing address

2548 W 64TH PL
Hialeah, FL 33016-6318
Phone (786) 675-2023

Other practice location 1

2100 W 76th St Ste 411
Hialeah, FL 33016-5504
Phone (786) 655-9992

Other practice location 2

277 E 7th St
Hialeah, FL 33010
Phone (786) 675-2023

Other identifiers 1

IdentifierTypeStateIssuer
P532-540-79-599-0MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Planets Behavior Corp Behavior Analyst CurrentSince Feb 11, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1568997450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 W 64TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166318",
            "telephone_number": "786-675-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2548 W 64TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166318",
            "telephone_number": "786-675-2023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 W 76th St Ste 411",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330165504",
            "country_code": "US",
            "telephone_number": "786-655-9992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "277 E 7th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "33010",
            "country_code": "US",
            "telephone_number": "786-675-2023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENATE JUVIEL",
        "first_name": "MELVYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-20-46053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P532-540-79-599-0",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.