Miami Beach Behavioral Health LLC

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

MIAMI BEACH BEHAVIORAL HEALTH LLC

Practice address

1354 Washington Ave Ste 221
Miami Beach, FL 33139-4203

Phone

(305) 766-8064

Fax

(305) 899-5165

NPI assigned

Jun 15, 2020

Organization subpart

No

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

Authorized official

Name

Olga Ccastro

Title

Owner

Phone

(305) 766-8064

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edgar Alfonso Pena, L.M.H.C, CAP

  • Mental Health Counselor
  • Miami Beach, FL
  • NPI 1700070802

  Addiction (Substance Use Disorder)

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1689299703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 WASHINGTON AVE STE 221",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331394203",
            "telephone_number": "305-766-8064",
            "fax_number": "305-899-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 WASHINGTON AVE STE 221",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331394203",
            "telephone_number": "305-766-8064",
            "fax_number": "305-899-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI BEACH BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "CCASTRO",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-766-8064"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Mhoon-Mock, PHD
• Mia Consulting Group, Inc.
• Mia Dental Corp
• Miami Beach Acupuncture Center
• Miami Beach Anesthesiology Associates Inc
• Miami Beach Center for Dental Specialties, PA
• Miami Beach Center for Dental Specialties, PA
• Miami Beach Clinical Research Center
• Miami Beach Community Health Center Inc
• Miami Beach Community Health Center Inc

• Group Psychotherapy Psychologist in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Group Psychotherapy Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.