Organization Active NPI

Innovaionclinical Trials Inc.

Doing business as Innovation Community Mental Health

  • Community/Behavioral Health Agency
  • Palmetto Bay, FL
National Provider Identifier
1730994112
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INNOVAIONCLINICAL TRIALS INC.
Doing business as
Innovation Community Mental Health
Practice address
9000 SW 152ND St Ste 202
Palmetto Bay, FL 33157-1942
Phone
(786) 298-5170
Fax
(786) 587-1524
NPI assigned
Feb 11, 2025
Last updated
Feb 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Authorized official

Name
Mr. Joelsi Perez
Title
Owner
Phone
(786) 298-5170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

9000 SW 152ND St Ste 202
Palmetto Bay, FL 33157-1942

Mailing address

9000 SW 152ND St Ste 202
Palmetto Bay, FL 33157-1942
Phone (786) 298-5170

Other names 1

  • Innovation Community Mental Health Doing business as

National Provider Directory

National Provider Directory

Locations

9000 SW 152nd St
Ste 202
Palmetto Bay, FL 33157
Phone (305) 255-1362

NPI Registry JSON

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1730994112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 SW 152ND ST STE 202",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571942",
            "telephone_number": "786-298-5170",
            "fax_number": "786-587-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 SW 152ND ST STE 202",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571942",
            "telephone_number": "786-298-5170",
            "fax_number": "786-587-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVAIONCLINICAL TRIALS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JOELSI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-298-5170",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovation Community Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.