Organization Active NPI

Universal Mental Health Inc

  • Multi-Specialty Clinic/Center
  • Florida City, FL
National Provider Identifier
1740865039
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
UNIVERSAL MENTAL HEALTH INC
Practice address
139 N Redland Rd Ste 5
Florida City, FL 33034-3105
Phone
(786) 628-8656
Fax
(786) 650-2968
NPI assigned
Mar 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Sandy Lopez
Title
President
Phone
(786) 628-8656

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

139 N Redland Rd Ste 5
Florida City, FL 33034-3105

Mailing address

139 N Redland Rd Ste 5
Florida City, FL 33034-3105
Phone (786) 628-8656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220301000671 FL Part B Supplier - Clinic/Group Practice 4385038769 Receives reassigned benefits from 2 practitioners
Practice locations: Homestead, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2246205Universal Mental Health Inc139 N Redland Road #5, Homestead, FL 33034Certificate of waiverDec 20, 2027

National Provider Directory

National Provider Directory

Locations

139 N Redland Rd
Ste 5
Homestead, FL 33034
Phone (786) 332-5250

15715 S Dixie Hwy
Ste 219
Miami, FL 33157
Phone (305) 232-0155

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1740865039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 N REDLAND RD STE 5",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330343105",
            "telephone_number": "786-628-8656",
            "fax_number": "786-650-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 N REDLAND RD STE 5",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330343105",
            "telephone_number": "786-628-8656",
            "fax_number": "786-650-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL MENTAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-628-8656"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florida City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.