NPIMap

Organization Active NPI

Mental Health Institute of Florida

  • Behavior Analyst
  • Pembroke Pines, FL
National Provider Identifier
1699167403
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MENTAL HEALTH INSTITUTE OF FLORIDA
Practice address
1921 NW 150TH Ave Ste 104
Pembroke Pines, FL 33028-2872
Phone
(786) 393-0361
Fax
(954) 251-7005
NPI assigned
Mar 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Dr. Andres Feliciano Mambuca, PSYD, MS, LMHC, BCBANPI 1720352743
Title
Clinical Director
Phone
(954) 663-8086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X MH11089 FL
Early Intervention Provider Agency 252Y00000X MH11089 FL

Addresses

Primary practice location

1921 NW 150TH Ave Ste 104
Pembroke Pines, FL 33028-2872

Mailing address

3311 SW 195TH Ter
Miramar, FL 33029-5881
Phone (954) 663-8086

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241011002739 FL Part B Supplier - Clinic/Group Practice 9133651490 Practice locations: Pembroke Pines, FL

National Provider Directory

National Provider Directory

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": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1699167403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 SW 195TH TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295881",
            "telephone_number": "954-663-8086",
            "fax_number": "954-251-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 NW 150TH AVE STE 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282872",
            "telephone_number": "786-393-0361",
            "fax_number": "954-251-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH INSTITUTE OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "MAMBUCA",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_middle_name": "FELICIANO",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "954-663-8086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, MS, LMHC, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH11089",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": "MH11089",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.