Organization Active NPI

Dynasty Mental Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
National Provider Identifier
1639631047
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DYNASTY MENTAL HEALTH, INC
Practice address
12985 SW 130TH CT Unit 202
Miami, FL 33186-5346
Phone
(786) 732-4331
Fax
(786) 732-4338
NPI assigned
Apr 3, 2019
Last updated
May 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Milton Cancel
Title
Owner
Phone
(786) 732-4331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

12985 SW 130TH CT Unit 202
Miami, FL 33186-5346

Mailing address

12985 SW 130TH CT Unit 202
Miami, FL 33186-5346
Phone (786) 732-4331

National Provider Directory

National Provider Directory

Locations

7789 NW 48th St
Ste 375
Doral, FL 33166
Phone (786) 250-4129

12985 SW 130th Ct
Unit 202
Miami, FL 33186
Phone (786) 732-4331

13590 SW 134th Ave
Ste 203
Miami, FL 33186

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1639631047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12985 SW 130TH CT UNIT 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865346",
            "telephone_number": "786-732-4331",
            "fax_number": "786-732-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12985 SW 130TH CT UNIT 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865346",
            "telephone_number": "786-732-4331",
            "fax_number": "786-732-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNASTY MENTAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "CANCEL",
        "authorized_official_first_name": "MILTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-732-4331"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 May 12, 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.