NPIMap

Organization Active NPI

Brain & Behavioral Institute of South Florida Inc

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1831526151
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BRAIN & BEHAVIORAL INSTITUTE OF SOUTH FLORIDA INC
Practice address
1801 Coral Way
Suite#327
Miami, FL 33145-2790
Phone
(786) 866-5914
Fax
(786) 866-5928
NPI assigned
Oct 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Authorized official

Name
Mr. Williams Jose Lucena, LMHCNPI 1114188588
Title
President
Phone
(786) 866-5914

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1801 Coral Way
Suite#327
Miami, FL 33145-2790

Mailing address

1801 Coral Way
Suite# 327
Miami, FL 33145-2790
Phone (786) 866-5914

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210421002417 FL Part B Supplier - Clinic/Group Practice 4880002344 Receives reassigned benefits from 5 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Brain Behavioral Institute of South Florida Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1801 Coral Way
Ste 327
Miami, FL 33145
Phone (786) 866-5914

1801 SW 22nd St
Ste 405
Miami, FL 33145
Phone (305) 854-9023

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1831526151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 CORAL WAY",
            "address_2": "SUITE# 327",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452790",
            "telephone_number": "786-866-5914",
            "fax_number": "786-866-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 CORAL WAY",
            "address_2": "SUITE#327",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452790",
            "telephone_number": "786-866-5914",
            "fax_number": "786-866-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN & BEHAVIORAL INSTITUTE OF SOUTH FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "LUCENA",
        "authorized_official_first_name": "WILLIAMS",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-866-5914",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 13, 2021; 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.