NPIMap

Organization Active NPI

Advanced Behavioral Network

  • Mental Health Counselor
  • Coral Gables, FL
National Provider Identifier
1598024325
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH4296 Issued in FL
Legal business name
ADVANCED BEHAVIORAL NETWORK
Practice address
250 Catalonia Ave
Suite 807
Coral Gables, FL 33134-6735
Phone
(305) 648-0604
NPI assigned
May 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Authorized official

Name
Dr. Maria Pilar Gondra, PSYD
Title
Licensed Psychotherapist
Phone
(305) 648-0604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH4296 FL Primary

Addresses

Primary practice location

250 Catalonia Ave
Suite 807
Coral Gables, FL 33134-6735

Mailing address

250 Catalonia Ave
Suite 807
Coral Gables, FL 33134-6735
Phone (305) 648-0604

National Provider Directory

National Provider Directory

Locations

250 Catalonia Ave
Ste 807
Coral Gables, FL 33134
Phone (305) 441-6655

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1598024325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CATALONIA AVE",
            "address_2": "SUITE 807",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346735",
            "telephone_number": "305-648-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CATALONIA AVE",
            "address_2": "SUITE 807",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346735",
            "telephone_number": "305-648-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BEHAVIORAL NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "GONDRA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "PILAR",
        "authorized_official_title_or_position": "LICENSED PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "305-648-0604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.