Active NPI
Grety Mendizabal
- Developmental Therapist
- Miami, FL
National Provider Identifier
1801122601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 1601 NW 12TH Ave
Miami, FL 33136-1005 - Phone
- (305) 243-6660
- Fax
- (305) 243-3501
- NPI assigned
- Oct 29, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary | ||
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | FL |
Addresses
Primary practice location
1601 NW 12TH Ave
Miami, FL 33136-1005
Mailing address
1601 NW 12TH Ave
Mailman Center Room 4026
Miami, FL 33136-1005
Phone (305) 243-6660
Other practice location 1
4716 SW 186th Way
Miramar, FL 33029-6220
Phone (305) 989-1947
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1801122601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 NW 12TH AVE",
"address_2": "MAILMAN CENTER ROOM 4026",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-243-6660",
"fax_number": "305-243-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 NW 12TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-243-6660",
"fax_number": "305-243-3501"
}
],
"practiceLocations": [
{
"address_1": "4716 SW 186th Way",
"address_purpose": "LOCATION",
"city": "Miramar",
"state": "FL",
"postal_code": "330296220",
"country_code": "US",
"telephone_number": "305-989-1947",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDIZABAL",
"first_name": "GRETY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-29",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.