Organization Active NPI

Cazares Professional Therapy LLC

  • Adult Mental Health Clinic/Center
  • Pompano Beach, FL
National Provider Identifier
1639788755
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CAZARES PROFESSIONAL THERAPY LLC
Practice address
1000 W McNab Rd Ste 275
Pompano Beach, FL 33069-4719
Phone
(305) 496-7753
NPI assigned
Jul 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
Sarajane Cazares, LICSW, LCSWNPI 1013210046
Title
Sole MBR
Phone
(305) 496-7753

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1000 W McNab Rd Ste 275
Pompano Beach, FL 33069-4719

Mailing address

1000 W McNab Rd Ste 275
Pompano Beach, FL 33069-4719
Phone (305) 496-7753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210120000679 FL Part B Supplier - Clinic/Group Practice 0345653028 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL; Pompano Beach, FL

National Provider Directory

National Provider Directory

Locations

1000 W McNab Rd
Ste 275
Pompano Beach, FL 33069
Phone (305) 496-7753

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": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1639788755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W MCNAB RD STE 275",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694719",
            "telephone_number": "305-496-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W MCNAB RD STE 275",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694719",
            "telephone_number": "305-496-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAZARES PROFESSIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "CAZARES",
        "authorized_official_first_name": "SARAJANE",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "305-496-7753",
        "authorized_official_credential": "LICSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.