NPIMap

Organization Active NPI

PHP Mental Health Center Inc

  • Community/Behavioral Health Agency
  • Cutler Bay, FL
National Provider Identifier
1821876343
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PHP MENTAL HEALTH CENTER INC
Practice address
10665 SW 190TH St Ste 3213
Cutler Bay, FL 33157-7706
Phone
(786) 380-2077
NPI assigned
Sep 18, 2023
Last updated
Sep 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Anacecilia Casanova
Title
President
Phone
(786) 380-2077

Specialties & licenses 1

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

Addresses

Primary practice location

10665 SW 190TH St Ste 3213
Cutler Bay, FL 33157-7706

Mailing address

10665 SW 190TH St Ste 3213
Cutler Bay, FL 33157-7706
Phone (786) 380-2077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240312001288 FL Part B Supplier - Clinic/Group Practice 9830535939 Receives reassigned benefits from 9 practitioners
Practice locations: Cutler Bay, FL
O20240409002534 FL Part A Provider - Community Mental Health Center 9830535939 Practice locations: Cutler Bay, FL

National Provider Directory

National Provider Directory
Tax ID family
PHP Mental Health Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10665 SW 190th St
Ste 213
Cutler Bay, FL 33157
Phone (786) 760-6451

Practitioners & affiliated clinicians

Practitioners 10

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": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1821876343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10665 SW 190TH ST STE 3213",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577706",
            "telephone_number": "786-380-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10665 SW 190TH ST STE 3213",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577706",
            "telephone_number": "786-380-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHP MENTAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-16",
        "status": "A",
        "authorized_official_last_name": "CASANOVA",
        "authorized_official_first_name": "ANACECILIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-380-2077"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.