Active NPI
Atlantis Mental Health Center, Corp
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Doral, FL
National Provider Identifier
1770596223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- HCC7103
- Legal business name
- ATLANTIS MENTAL HEALTH CENTER, CORP
- Practice address
- 3900 NW 79TH Ave
Suite 704
Doral, FL 33166-6556 - Phone
- (305) 471-7353
- NPI assigned
- Aug 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Vladimir De la Cruz
- Title
- President
- Phone
- (305) 471-7353
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | HCC7103 | FL | Primary |
Addresses
Primary practice location
3900 NW 79TH Ave
Suite 704
Doral, FL 33166-6556
Mailing address
3900 NW 79TH Ave
Suite 704
Doral, FL 33166-6556
Phone (305) 471-7353
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Miami Beach, FL
- NPI 1912014804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199750400000",
"number": "1770596223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 NW 79TH AVE",
"address_2": "SUITE 704",
"city": "DORAL",
"state": "FL",
"postal_code": "331666556",
"telephone_number": "305-471-7353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 NW 79TH AVE",
"address_2": "SUITE 704",
"city": "DORAL",
"state": "FL",
"postal_code": "331666556",
"telephone_number": "305-471-7353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIS MENTAL HEALTH CENTER, CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-15",
"last_updated": "2008-01-08",
"status": "A",
"authorized_official_last_name": "DE LA CRUZ",
"authorized_official_first_name": "VLADIMIR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-471-7353",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "FL",
"license": "HCC7103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
- Atlantic Health Clinic
- Atlantic Home Care Services Corp.
- Atlantic Medical Center Doral Inc
- Atlantic Medical Specialty, Inc
- Atlantic Solutions Express, Inc.
- Atlantis Renal Network, Inc.
- Atlas Specific Chiropractic Inc
- Aton Urgent Care Corp.
- Atrium Chiropractic and Rehab, Inc.
- Atrium Home Health Care, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.