Organization Active NPI

Saint Jude Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hialeah, FL
National Provider Identifier
1689608622
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
HCC6812 Issued in FL
Legal business name
SAINT JUDE MENTAL HEALTH CENTER INC
Practice address
444 E 25TH St
Hialeah, FL 33013-3811
Phone
(305) 835-8535
Fax
(305) 835-8737
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mauricio L Lopez
Title
Vice President
Phone
(305) 835-8535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X HCC6812 FL Primary

Addresses

Primary practice location

444 E 25TH St
Hialeah, FL 33013-3811

Mailing address

444 E 25TH St
Hialeah, FL 33013-3811
Phone (305) 835-8535

National Provider Directory

National Provider Directory

Locations

444 E 25th St
Hialeah, FL 33013
Phone (305) 693-7287

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689608622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 E 25TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133811",
            "telephone_number": "305-835-8535",
            "fax_number": "305-835-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 E 25TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133811",
            "telephone_number": "305-835-8535",
            "fax_number": "305-835-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JUDE MENTAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MAURICIO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-835-8535",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "HCC6812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.