Organization Active NPI

Marvelous Behavioral Care Center Corp

  • Case Management Agency
  • North Miami, FL
National Provider Identifier
1780199018
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MARVELOUS BEHAVIORAL CARE CENTER CORP
Practice address
1125 NE 125TH St Ste 231
North Miami, FL 33161-5034
Phone
(305) 989-9307
Fax
(305) 221-8415
NPI assigned
Dec 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Marlen GonzalezNPI 1902161169
Title
Owner
Phone
(305) 812-9123

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1125 NE 125TH St Ste 231
North Miami, FL 33161-5034

Mailing address

1125 NE 125TH St Ste 231
North Miami, FL 33161-5034
Phone (305) 989-9307

National Provider Directory

National Provider Directory

Locations

1125 NE 125th St
Ste 231
North Miami, FL 33161
Phone (305) 989-9307

Practitioners & affiliated clinicians

Practitioners 1

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": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1780199018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 NE 125TH ST STE 231",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615034",
            "telephone_number": "305-989-9307",
            "fax_number": "305-221-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 NE 125TH ST STE 231",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615034",
            "telephone_number": "305-989-9307",
            "fax_number": "305-221-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVELOUS BEHAVIORAL CARE CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-812-9123"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.