Organization Active NPI

Behavioral Health & Wellness of South Florida

  • Community Health Clinic/Center
  • Miami, FL
National Provider Identifier
1609439140
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
BEHAVIORAL HEALTH & WELLNESS OF SOUTH FLORIDA
Practice address
11285 SW 211TH St # 202
Miami, FL 33189-2211
Phone
(786) 592-1001
Fax
(786) 592-1024
NPI assigned
Apr 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Authorized official

Name
Grace Diaz, B.S
Title
Ceo
Phone
(305) 924-7299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

11285 SW 211TH St # 202
Miami, FL 33189-2211

Mailing address

11285 SW 211TH St # 202
Miami, FL 33189-2211
Phone (786) 592-1001

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1609439140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11285 SW 211TH ST # 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331892211",
            "telephone_number": "786-592-1001",
            "fax_number": "786-592-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11285 SW 211TH ST # 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331892211",
            "telephone_number": "786-592-1001",
            "fax_number": "786-592-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH & WELLNESS OF SOUTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-924-7299",
        "authorized_official_credential": "B.S"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.