NPIMap

Organization Active NPI

Mdo Healthcare Management and Services Inc

  • Behavior Analyst
  • Miami Shores, FL
National Provider Identifier
1578229472
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MDO HEALTHCARE MANAGEMENT AND SERVICES INC
Practice address
9999 NE 2ND Ave Ste 219
Miami Shores, FL 33138-2345
Phone
(954) 871-1119
Fax
(305) 614-8602
NPI assigned
Nov 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Authorized official

Name
Ma Diana Ortiz, BCBANPI 1972012912
Title
President
Phone
(954) 871-1119

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

9999 NE 2ND Ave Ste 219
Miami Shores, FL 33138-2345

Mailing address

9999 NE 2ND Ave Ste 219
Miami Shores, FL 33138-2345
Phone (954) 871-1119

National Provider Directory

National Provider Directory

Locations

9999 NE 2nd Ave
Ste 219
Miami Shores, FL 33138
Phone (954) 871-1119

Practitioners & affiliated clinicians

Practitioners 5

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": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1578229472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9999 NE 2ND AVE STE 219",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382345",
            "telephone_number": "954-871-1119",
            "fax_number": "305-614-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9999 NE 2ND AVE STE 219",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382345",
            "telephone_number": "954-871-1119",
            "fax_number": "305-614-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDO HEALTHCARE MANAGEMENT AND SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "MA DIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-871-1119",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.