Organization Active NPI

Trust Behavior Therapy LLC

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1629748991
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRUST BEHAVIOR THERAPY LLC
Practice address
11025 SW 180TH St
Miami, FL 33157-5025
Phone
(305) 504-0279
NPI assigned
Sep 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Authorized official

Name
Yadira Niebla PerezNPI 1407389539
Title
Owner
Phone
(305) 504-0279

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

11025 SW 180TH St
Miami, FL 33157-5025

Mailing address

11025 SW 180TH St
Miami, FL 33157-5025
Phone (305) 504-0279

National Provider Directory

National Provider Directory

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": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1629748991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11025 SW 180TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331575025",
            "telephone_number": "305-504-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11025 SW 180TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331575025",
            "telephone_number": "305-504-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUST BEHAVIOR THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "NIEBLA PEREZ",
        "authorized_official_first_name": "YADIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-504-0279"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral 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 Sep 17, 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.