NPIMap

Organization Active NPI

Community Mental Health and Wellness Center of Doral Inc

  • Adult Mental Health Clinic/Center
  • Doral, FL
National Provider Identifier
1740702406
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
COMMUNITY MENTAL HEALTH AND WELLNESS CENTER OF DORAL INC
Practice address
9300 NW 25TH St Ste 106
Doral, FL 33172-1506
Phone
(786) 320-4603
NPI assigned
Jul 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Authorized official

Name
Jessica Rodriguez
Title
President
Phone
(786) 490-0974

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
PsychoanalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 102L00000X
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X
Community Health Clinic/Center 261QC1500X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

9300 NW 25TH St Ste 106
Doral, FL 33172-1506

Mailing address

9300 NW 25TH St Ste 106
Doral, FL 33172-1506
Phone (786) 320-4603

Other identifiers 1

IdentifierTypeStateIssuer
HCC12703OtherFLAHCA

National Provider Directory

National Provider Directory
Tax ID family
Community Mental Health and Wellness Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1740702406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 NW 25TH ST STE 106",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721506",
            "telephone_number": "786-320-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 NW 25TH ST STE 106",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721506",
            "telephone_number": "786-320-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MENTAL HEALTH AND WELLNESS CENTER OF DORAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-490-0974"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "HCC12703",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.