Gamebred Youth & Families

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GAMEBRED YOUTH & FAMILIES

Practice address

450 NW 14TH St
Miami, FL 33136-2636

Phone

(305) 647-8065

NPI assigned

May 14, 2021

Organization subpart

No

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

Authorized official

Name

Marlon Snyder PenaNPI 1801293568

Title

President

Phone

(305) 846-9807

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Marlon Snyder Pena

  • Mental Health Counselor
  • Miami, FL
  • NPI 1801293568
  NPD Authorized official

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1629642632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8321 NW 7TH ST APT 303",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263916",
            "telephone_number": "305-647-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NW 14TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362636",
            "telephone_number": "305-647-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMEBRED YOUTH & FAMILIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "MARLON",
        "authorized_official_middle_name": "SNYDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-846-9807"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Aaron Gamboa, RBT
• Maria Jose Gamboa
• Marylena Gamboa
• Marylu Gamboa
• Nataly Gamboa
• Barbara Jissy Gamez Chang, APRN
• Jose Antonio Gamez Cicero
• Daniuska Gamez Gomez
• Raiquelis Gamez Gomez, RBT
• Carolina Gamez Lopez, COTA

• Community/Behavioral Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.