NPIMap

Organization Active NPI

Mental Health Services Corp

  • Behavior Analyst
  • Pembroke Pines, FL
National Provider Identifier
1770930299
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MENTAL HEALTH SERVICES CORP
Practice address
1806 N Flamingo Rd Ste 347
Pembroke Pines, FL 33028-1040
Phone
(954) 288-7362
NPI assigned
May 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Dora M Santos, LMHCNPI 1184633299
Title
President
Phone
(954) 288-7362

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X MH4696 FL

Addresses

Primary practice location

1806 N Flamingo Rd Ste 347
Pembroke Pines, FL 33028-1040

Mailing address

1620 NW 143Rd Ter
Pembroke Pines, FL 33028-3002
Phone (954) 661-3672

National Provider Directory

National Provider Directory

Locations

1806 N Flamingo Rd
Ste 347
Pembroke Pines, FL 33028
Phone (877) 354-5338

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": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1770930299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 NW 143RD TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330283002",
            "telephone_number": "954-661-3672",
            "fax_number": "954-827-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 N FLAMINGO RD STE 347",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281040",
            "telephone_number": "954-288-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "DORA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-288-7362",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH4696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.