Atlantic Mental Health Program, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

HCC4181 Issued in FL

Legal business name

ATLANTIC MENTAL HEALTH PROGRAM, INC

Doing business as

Homestead Behavioral Clinic, HBC

Practice address

654 NE 9TH PL
Homestead, FL 33030

Phone

(305) 248-3488

Fax

(305) 248-3488

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Aidelyn Lopez

Title

President Administrator

Phone

(305) 248-3488

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Homestead Behavioral Clinic, HBC Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1770511479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 NE 9TH PL",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304934",
            "telephone_number": "305-248-3488",
            "fax_number": "305-248-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 NE 9TH PL",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "33030",
            "telephone_number": "305-248-3488",
            "fax_number": "305-248-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC MENTAL HEALTH PROGRAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "AIDELYN",
        "authorized_official_title_or_position": "PRESIDENT ADMINISTRATOR",
        "authorized_official_telephone_number": "305-248-3488",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "HCC4181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004814500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homestead Behavioral Clinic, HBC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Homestead Behavioral Clinic, HBC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• At Tawheed Dental Corp
• Patrycja Ataides, OTA
• Wendy Atherton, COTA
• Rosita Atilus, APRN
• Paulette L Atkinson, M.S ED.S
• Perlatchy Aubin
• Valens Aubin
• Beatrice Augustave
• Ethan Y Auguste
• Charles Anderson Augustus, MD

• Community/Behavioral Health Agency in Homestead, FL
• Providers in Homestead, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.