Organization Active NPI

Vda Community Center Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
National Provider Identifier
1669065892
Registry record updated Sep 13, 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
VDA COMMUNITY CENTER CORP
Practice address
14247 SW 42ND St Unit 15
Miami, FL 33175-6408
Phone
(786) 817-2976
Fax
(786) 431-2567
NPI assigned
Feb 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Felix Barrera Morales
Title
President
Phone
(786) 893-6168

Specialties & licenses 1

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

Addresses

Primary practice location

14247 SW 42ND St Unit 15
Miami, FL 33175-6408

Mailing address

14247 SW 42ND St Unit 15
Miami, FL 33175-6408
Phone (786) 817-2976

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220516002409 FL Part B Supplier - Clinic/Group Practice 5991182735 Receives reassigned benefits from 3 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

14247 SW 42nd St
Unit 15
Miami, FL 33175
Phone (786) 238-6031

Practitioners & affiliated clinicians

Practitioners 5

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": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1669065892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14247 SW 42ND ST UNIT 15",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756408",
            "telephone_number": "786-817-2976",
            "fax_number": "786-431-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14247 SW 42ND ST UNIT 15",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756408",
            "telephone_number": "786-817-2976",
            "fax_number": "786-431-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VDA COMMUNITY CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "BARRERA MORALES",
        "authorized_official_first_name": "FELIX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-893-6168"
    },
    "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 Sep 13, 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.