Organization Active NPI

Alpha Therapy Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hialeah, FL
National Provider Identifier
1811778624
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ALPHA THERAPY CENTER INC
Practice address
1840 W 49TH St Ste 515
Hialeah, FL 33012-2950
Phone
(305) 603-9202
Fax
(305) 603-9203
NPI assigned
Oct 9, 2023
Last updated
Mar 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Maylin Nurque Martinez
Title
Owner
Phone
(305) 603-9202

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Physical Medicine & Rehabilitation Physician 208100000X NU
General Practice Physician 208D00000X NU
Physical Therapist 225100000X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Children's Substance Abuse Rehabilitation Facility 3245S0500X NU
Behavior Analyst 103K00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1840 W 49TH St Ste 515
Hialeah, FL 33012-2950

Mailing address

1840 W 49TH St Ste 408
Hialeah, FL 33012-2978
Phone (305) 603-9202

Other identifiers 1

IdentifierTypeStateIssuer
120625300MedicaidFL

Other names 1

  • ALPHA THERAPY CENTER INC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240325003419 FL Part B Supplier - Clinic/Group Practice 3577900661 Receives reassigned benefits from 8 practitioners
Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory

Locations

1840 W 49th St
Ste 408
Hialeah, FL 33012

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1811778624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST STE 408",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122978",
            "telephone_number": "305-603-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST STE 515",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122950",
            "telephone_number": "305-603-9202",
            "fax_number": "305-603-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA THERAPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "NURQUE MARTINEZ",
        "authorized_official_first_name": "MAYLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-603-9202"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120625300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALPHA THERAPY CENTER INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "ALPHA THERAPY CENTER INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

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