Active NPI
Dynasty Mental Health, Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
National Provider Identifier
1639631047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.