Advanced Community Mental Health Inc

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

ADVANCED COMMUNITY MENTAL HEALTH INC

Practice address

11093 NW 138TH St Unit 210
Hialeah Gardens, FL 33018-1192

Phone

(305) 469-8440

NPI assigned

May 31, 2019

Last updated

Aug 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katerina De la Vega

Title

President

Phone

(305) 469-8440

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1730747163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11093 NW 138TH ST UNIT 210",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330181192",
            "telephone_number": "305-469-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11093 NW 138TH ST UNIT 210",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330181192",
            "telephone_number": "305-469-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED COMMUNITY MENTAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "DE LA VEGA",
        "authorized_official_first_name": "KATERINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-469-8440"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.