Organization Active NPI

Sunrise Behavioral Health and Support Services Inc

  • Mental Health Counselor
  • Homestead, FL
National Provider Identifier
1588025464
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SUNRISE BEHAVIORAL HEALTH AND SUPPORT SERVICES INC
Practice address
100 NE 15TH St Ste 205
Homestead, FL 33030-4577
Phone
(305) 400-4845
Fax
(305) 400-4845
NPI assigned
Mar 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Tamara Rosario, LMHCNPI 1457441727
Title
Ceo/President/Director
Phone
(305) 400-4845

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X

Addresses

Primary practice location

100 NE 15TH St Ste 205
Homestead, FL 33030-4577

Mailing address

11077 Biscayne Blvd Ste 410
Miami, FL 33161-7568
Phone (305) 400-4845

Other practice location 1

1001 Jerome Ave Apt 9A
Bronx, NY 10452-5763
Phone (347) 322-9995

National Provider Directory

National Provider Directory

Locations

100 NE 15th St
Ste 205
Homestead, FL 33030
Phone (786) 693-2719

11077 Biscayne Blvd
Ste 410
North Miami, FL 33161
Phone (305) 400-4845

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1588025464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11077 BISCAYNE BLVD STE 410",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331617568",
            "telephone_number": "305-400-4845",
            "fax_number": "305-400-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NE 15TH ST STE 205",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304577",
            "telephone_number": "305-400-4845",
            "fax_number": "305-400-4845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Jerome Ave Apt 9A",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104525763",
            "country_code": "US",
            "telephone_number": "347-322-9995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNRISE BEHAVIORAL HEALTH AND SUPPORT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "ROSARIO",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "CEO/PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "305-400-4845",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 14, 2023; 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.