Individual provider Active NPI

Kharina Gamez Ortega

  • Behavior Technician
  • Plantation, FL
National Provider Identifier
1801574611
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
7420 NW 5TH St Ste 110
Plantation, FL 33317-1611
Phone
(954) 321-3595
Fax
(954) 321-3593
NPI assigned
Jul 11, 2023
Last updated
Jul 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X NU Primary

Addresses

Primary practice location

7420 NW 5TH St Ste 110
Plantation, FL 33317-1611

Mailing address

3610 N 56TH Ave Apt 214
Hollywood, FL 33021-2256
Phone (786) 862-5172

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Behavioral Services, LLC CurrentSince Jan 12, 2025 Accepting new patients

Locations

7420 NW 5th St
Ste 110
Plantation, FL 33317
Phone (954) 321-3593

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1801574611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 N 56TH AVE APT 214",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212256",
            "telephone_number": "786-862-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 NW 5TH ST STE 110",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171611",
            "telephone_number": "954-321-3595",
            "fax_number": "954-321-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMEZ ORTEGA",
        "first_name": "KHARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.