NPIMap

Organization Active NPI

CMP Medical Center Corp.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
National Provider Identifier
1578042610
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CMP MEDICAL CENTER CORP.
Practice address
1797 Coral Way
Miami, FL 33145-2728
Phone
(786) 464-0673
Fax
(786) 464-0635
NPI assigned
Aug 9, 2018
Last updated
Aug 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Mrs. Celida A CamberNPI 1669160271
Title
President / Owner
Phone
(786) 464-0673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1797 Coral Way
Miami, FL 33145-2728

Mailing address

10021 SW 40TH St
Miami, FL 33165-3945
Phone (786) 464-0673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190823002363 FL Part B Supplier - Clinic/Group Practice 9133457401 Receives reassigned benefits from 10 practitioners
Practice locations: Miami, FL
O20230428000021 FL Part A Provider - Community Mental Health Center 9133457401 Practice locations: Miami, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578042610. Details of each certification follow.

  • CCN 684660 Community mental health center · Active · Name & address match · Details

Community mental health center certification: CCN 684660

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CMP MEDICAL CENTER CORP
Certification status
Active
Provider type (POS)
Community mental health center
Participating since
Jan 17, 2024
Last certification
Nov 29, 2023
Ownership / control type
For profit – individual
Facility address
1797 Coral Way
Coral, FL 33145

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
10D2254550CMP Medical Center Corp1797 Coral Way, Miami, FL 33145Certificate of waiverMar 3, 2028

National Provider Directory

National Provider Directory

Locations

8150 SW 8th St
Ste 213
Miami, FL 33144
Phone (305) 266-1945

1405 SW 107th Ave
Ste 301M
Miami, FL 33174

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1578042610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10021 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653945",
            "telephone_number": "786-464-0673",
            "fax_number": "786-464-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452728",
            "telephone_number": "786-464-0673",
            "fax_number": "786-464-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMP MEDICAL CENTER CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "CAMBER",
        "authorized_official_first_name": "CELIDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "786-464-0673",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.