Individual provider Active NPI

Lourdes Morales Denis, TCM SUPERVISOR

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1790356137
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-54653 Issued in FL
Practice address
9364 SW 37TH St
Miami, FL 33165-4124
Phone
(305) 345-4898
NPI assigned
Jul 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-54653 FL Primary
Social Worker 104100000X CBHCM100344 FL

Addresses

Primary practice location

9364 SW 37TH St
Miami, FL 33165-4124

Mailing address

9364 SW 37TH St
Miami, FL 33165-4124
Phone (305) 345-4898

Other names 1

  • Ms. Lourdes Morales Morales Denis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CBHCM100344FLMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Great Behavioral Services Corp Social Worker Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1790356137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9364 SW 37TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654124",
            "telephone_number": "305-345-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9364 SW 37TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654124",
            "telephone_number": "305-345-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES DENIS",
        "first_name": "LOURDES",
        "name_prefix": "Ms.",
        "credential": "TCM SUPERVISOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-54653",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "CBHCM100344",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOURDES",
            "last_name": "MORALES DENIS",
            "middle_name": "MORALES",
            "prefix": "MS.",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.