Organization Active NPI

MSB Therapy, P.a

  • Mental Health Counselor
  • Pembroke Pines, FL
National Provider Identifier
1659929677
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MSB THERAPY, P.A
Practice address
2250 NW 136 Ave # 100F
Pembroke Pines, FL 33028-2586
Phone
(954) 336-6044
NPI assigned
Sep 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Authorized official

Name
Mirella Silva-BassNPI 1316388200
Title
Owner
Phone
(954) 336-6044

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2250 NW 136 Ave # 100F
Pembroke Pines, FL 33028-2586

Mailing address

2250 NW 136 Ave # 100F
Pembroke Pines, FL 33028-2586
Phone (954) 336-6044

National Provider Directory

National Provider Directory

Locations

2250 NW 136th Ave
#100F
Pembroke Pines, FL 33028
Phone (954) 336-6044

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": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1659929677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 NW 136 AVE # 100F",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282586",
            "telephone_number": "954-336-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 NW 136 AVE # 100F",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282586",
            "telephone_number": "954-336-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSB THERAPY, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "SILVA-BASS",
        "authorized_official_first_name": "MIRELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-336-6044"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.