Organization Active NPI

Sunshine Behavior Health Care Inc

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1801637319
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUNSHINE BEHAVIOR HEALTH CARE INC
Practice address
2550 NW 72ND Ave Ste 115-117
Miami, FL 33122-1350
Phone
(786) 536-2012
Fax
(786) 536-2013
NPI assigned
Jun 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Widayessi Fernandez
Title
Ower
Phone
(786) 536-2012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2550 NW 72ND Ave Ste 115-117
Miami, FL 33122-1350

Mailing address

2550 NW 72ND Ave Ste 115-117
Miami, FL 33122-1350
Phone (786) 536-2012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240808000096 FL Part B Supplier - Clinic/Group Practice 0941747901 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Miami, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2550 NW 72nd Ave
Ste 105
Miami, FL 33122
Phone (305) 392-1045

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1801637319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 NW 72ND AVE STE 115-117",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221350",
            "telephone_number": "786-536-2012",
            "fax_number": "786-536-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 NW 72ND AVE STE 115-117",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221350",
            "telephone_number": "786-536-2012",
            "fax_number": "786-536-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE BEHAVIOR HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "WIDAYESSI",
        "authorized_official_title_or_position": "OWER",
        "authorized_official_telephone_number": "786-536-2012"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.