Active NPI
Behavioral Wellness Inc.
- Community/Behavioral Health Agency
- Miami, FL
National Provider Identifier
1720757313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BEHAVIORAL WELLNESS INC.
- Practice address
- 9425 Sunset Dr Ste 164
Miami, FL 33173-3290 - Phone
- (786) 638-4550
- Fax
- (305) 512-8608
- NPI assigned
- Sep 8, 2021
- Last updated
- Sep 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ana Lourdes Martin-Hidalgo
- Title
- Administrator
- Phone
- (305) 512-8689
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
9425 Sunset Dr Ste 164
Miami, FL 33173-3290
Mailing address
9425 Sunset Dr Ste 164
Miami, FL 33173-3290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106210600 | Medicaid | FL |
Other names 1
- Behavioral Wellness, Inc.
National Provider Directory
National Provider Directory- Tax ID family
- Behavioral Wellness Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Haines City, FL
- NPI 1396313193
-
- Community/Behavioral Health Agency
- Haines City, FL
- NPI 1578134573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631059200000",
"number": "1720757313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9425 SUNSET DR STE 164",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9425 SUNSET DR STE 164",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733290",
"telephone_number": "786-638-4550",
"fax_number": "305-512-8608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHAVIORAL WELLNESS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-08",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A",
"authorized_official_last_name": "MARTIN-HIDALGO",
"authorized_official_first_name": "ANA",
"authorized_official_middle_name": "LOURDES",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "305-512-8689"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106210600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Behavioral Wellness, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}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 Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.