Public Health Trust of Dade County Florida

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA

Doing business as

Jackson North Community Mental Health Center-Med Waiver

Practice address

20201 NW 37TH Ave
Miami Gardens, FL 33056-1755

Phone

(786) 466-2700

Fax

(786) 466-2748

NPI assigned

Oct 7, 2008

Last updated

Oct 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melida Akiti, LCSW

Title

Director

Phone

(786) 466-2710

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jackson North Community Mental Health Center-Med Waiver Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Public Health Trust of Miami Dade County Florida

  dba Jackson North Community Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Opa Locka, FL
  • NPI 1063417483

  O20031217000574

  Same enrollment

Locations

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1831340900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20201 NW 37TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330561755",
            "telephone_number": "786-466-2700",
            "fax_number": "786-466-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20201 NW 37TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330561755",
            "telephone_number": "786-466-2700",
            "fax_number": "786-466-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "AKITI",
        "authorized_official_first_name": "MELIDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-466-2710",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142202200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson North Community Mental Health Center-Med Waiver",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lorena Prieto Sanchez
• Ayleen Prieto, PTA
• Prime Health Medical Center LLC
• Aylen Proenza Corzo, BCBA
• Professional First Corp
• Public Health Trust of Miami Conty Florida (UHealth at Jackson Urgent Care North Dade)
• Alina Puebla
• Maria L Puentes
• Stephanie Pulido, PHARMD
• Pure Cut Essentials LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.