Individual provider Active NPI

Jake Michael Gil

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1700593498
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-77127 Issued in FL
Practice address
10661 N Kendall Dr Ste 228
Miami, FL 33176-1556
Phone
(305) 903-3505
NPI assigned
Nov 1, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-24-77127 FL Primary

Addresses

Primary practice location

10661 N Kendall Dr Ste 228
Miami, FL 33176-1556

Mailing address

4530 SW 154TH PL
Miami, FL 33185-4260
Phone (305) 588-2439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bee Positive Behavior Services Inc Behavior Analyst CurrentSince Dec 17, 2023 Accepting new patients
Gil Mental Health Services Inc CurrentSince Dec 1, 2023 Accepting new patients
First Steps Interventions, Inc. Behavior Analyst PastSince Nov 1, 2022 Accepting new patients

Locations

10661 N Kendall Dr
Ste 228
Miami, FL 33176
Phone (305) 588-2439

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1700593498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 SW 154TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854260",
            "telephone_number": "305-588-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10661 N KENDALL DR STE 228",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761556",
            "telephone_number": "305-903-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIL",
        "first_name": "JAKE",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-01",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-24-77127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.