Organization Active NPI

S FL Behavioral Health Assoc, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hallandale Beach, FL
National Provider Identifier
1699538140
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
S FL BEHAVIORAL HEALTH ASSOC, LLC
Practice address
1250 E Hallandale Beach Blvd Ste 700
Hallandale Beach, FL 33009-4641
Phone
(954) 362-8677
Fax
(954) 458-8167
NPI assigned
Feb 6, 2024
Last updated
Feb 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Catherine Funes, PSYDNPI 1124416276
Title
Owner
Phone
(954) 362-8677

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 1

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

Addresses

Primary practice location

1250 E Hallandale Beach Blvd Ste 700
Hallandale Beach, FL 33009-4641

Mailing address

200 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-5525
Phone (954) 362-8677

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240313002480 FL Part B Supplier - Clinic/Group Practice 2365888286 Receives reassigned benefits from 9 practitioners
Practice locations: Boca Raton, FL; Delray Beach, FL; Hallandale Beach, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

1250 E Hallandale Beach Blvd
Ste 700
Hallandale Beach, FL 33009
Phone (904) 456-3757

1900 N Bayshore Dr
Ste 108109
Miami, FL 33132

1900 N Bayshore Dr
Ste 116
Miami, FL 33132

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1699538140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095525",
            "telephone_number": "954-362-8677",
            "fax_number": "954-458-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E HALLANDALE BEACH BLVD STE 700",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094641",
            "telephone_number": "954-362-8677",
            "fax_number": "954-458-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S FL BEHAVIORAL HEALTH ASSOC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "FUNES",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-362-8677",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.