Organization Active NPI

Miami Lakes Behavioral Services Corp

  • Behavior Analyst
  • Miami Lakes, FL
National Provider Identifier
1659888352
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
MH10092 Issued in FL
Legal business name
MIAMI LAKES BEHAVIORAL SERVICES CORP
Practice address
6001 NW 153Rd St Ste 157
Miami Lakes, FL 33014-2447
Phone
(786) 907-4921
NPI assigned
Jan 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Maylin Batista, PH.D , LMHCNPI 1285910265
Title
President/Clinical Director
Phone
(786) 423-4612

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH10092 FL
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X MH10092 FL Primary
Community/Behavioral Health Agency 251S00000X MH10092 FL
Early Intervention Provider Agency 252Y00000X MH10092 FL

Addresses

Primary practice location

6001 NW 153Rd St Ste 157
Miami Lakes, FL 33014-2447

Mailing address

6001 NW 153Rd St Ste 157
Miami Lakes, FL 33014-2447
Phone (786) 907-4921

National Provider Directory

National Provider Directory
Tax ID family
Miami Lakes Behavioral Services Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1659888352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 NW 153RD ST STE 157",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142447",
            "telephone_number": "786-907-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 NW 153RD ST STE 157",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142447",
            "telephone_number": "786-907-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI LAKES BEHAVIORAL SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BATISTA",
        "authorized_official_first_name": "MAYLIN",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "786-423-4612",
        "authorized_official_credential": "PH.D , LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10092",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "MH10092",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH10092",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": "MH10092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.