Active NPI
Community Mental Health and Wellness Center Inc
- Clinic/Center
- Doral, FL
National Provider Identifier
1689191579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- COMMUNITY MENTAL HEALTH AND WELLNESS CENTER INC
- Practice address
- 9300 NW 25TH St Ste 106
Doral, FL 33172-1506 - Phone
- (786) 320-7603
- NPI assigned
- Aug 23, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Delia Rosa Kennedy
- Title
- Administrator
- Phone
- (786) 556-1397
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
9300 NW 25TH St Ste 106
Doral, FL 33172-1506
Mailing address
9300 NW 25TH St Ste 106
Doral, FL 33172-1506
Phone (786) 320-7602
Other practice location 1
9600 SW 8 Street Suite 23B
Miami, FL 33174
Phone (786) 556-1397
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HCC11306 | Other | FL | AHCA |
Other names 1
- Community Mental Health and Wellness Center of Doral Inc
National Provider Directory
National Provider Directory- Tax ID family
- Community Mental Health and Wellness Center Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Mental Health Clinic/Center
- Doral, FL
- NPI 1740702406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1689191579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 NW 25TH ST STE 106",
"city": "DORAL",
"state": "FL",
"postal_code": "331721506",
"telephone_number": "786-320-7602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 NW 25TH ST STE 106",
"city": "DORAL",
"state": "FL",
"postal_code": "331721506",
"telephone_number": "786-320-7603"
}
],
"practiceLocations": [
{
"address_1": "9600 SW 8 Street Suite 23B",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "33174",
"country_code": "US",
"telephone_number": "786-556-1397",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COMMUNITY MENTAL HEALTH AND WELLNESS CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-23",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "KENNEDY",
"authorized_official_first_name": "DELIA",
"authorized_official_middle_name": "ROSA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "786-556-1397",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA",
"identifier": "HCC11306",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Community Mental Health and Wellness Center of Doral Inc",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Community Mental Health and Wellness Center of Doral Inc",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.