NPIMap

Organization Active NPI

Marriage & Family Services, Inc.

  • Community/Behavioral Health Agency
  • North Miami, FL
National Provider Identifier
1619623287
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MARRIAGE & FAMILY SERVICES, INC.
Practice address
1175 NE 125TH St Ste 320
North Miami, FL 33161-5010
Phone
(561) 503-3059
Fax
(561) 634-2776
NPI assigned
Feb 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Eric Thomas Mundt, LMFTNPI 1841478567
Title
Ceo/Clinical Director
Phone
(561) 503-3059

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1175 NE 125TH St Ste 320
North Miami, FL 33161-5010

Mailing address

1175 NE 125TH St Ste 320
North Miami, FL 33161-5010
Phone (561) 503-3059

Other identifiers 1

IdentifierTypeStateIssuer
011164100MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Marriage Family Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1175 NE 125th St
Ste 320
North Miami, FL 33161
Phone (561) 503-3059

4330 W Broward Blvd
Ste I
Plantation, FL 33317
Phone (561) 774-8225

Practitioners & affiliated clinicians

Practitioners 3

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": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1619623287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 NE 125TH ST STE 320",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615010",
            "telephone_number": "561-503-3059",
            "fax_number": "561-634-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 NE 125TH ST STE 320",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615010",
            "telephone_number": "561-503-3059",
            "fax_number": "561-634-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRIAGE & FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "MUNDT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "561-503-3059",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011164100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.