Active NPI
Mercedes Smith
- Behavior Technician
- Miramar, FL
National Provider Identifier
1669208716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3045 N Commerce Pkwy
Miramar, FL 33025-3927 - Phone
- (786) 953-8500
- NPI assigned
- Sep 13, 2024
- Last updated
- Sep 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
3045 N Commerce Pkwy
Miramar, FL 33025-3927
Mailing address
3045 N Commerce Pkwy
Miramar, FL 33025-3927
Phone (786) 953-8500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excellence Behavioral Services LLC | Multi-Specialty | Current | Accepting new patients |
Locations
3045 N Commerce Pkwy
Miramar, FL 33025
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1669208716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3045 N COMMERCE PKWY",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330253927",
"telephone_number": "786-953-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3045 N COMMERCE PKWY",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330253927",
"telephone_number": "786-953-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MERCEDES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-13",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.