Active NPI
Yuleydis Betancourt Mesa, M.S., SLP
- Speech-Language Pathologist
- Homestead, FL
National Provider Identifier
1831621556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA16936
- Practice address
- 381 N Krome Ave Ste 206
Homestead, FL 33030-6047 - Phone
- (786) 410-8922
- NPI assigned
- Mar 31, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA16936 | FL | Primary |
Addresses
Primary practice location
381 N Krome Ave Ste 206
Homestead, FL 33030-6047
Mailing address
6156 SW 158TH Pass
Miami, FL 33193-3696
Phone (786) 380-7385
Other practice location 1
8785 SW 165th Ave
suite 103
Miami, FL 33193-5826
Phone (786) 206-6500
Other practice location 2
6156 SW 158th Pass
Miami, FL 33193-3696
Phone (786) 380-7385
Other practice location 3
7385 SW 23rd St
Miami, FL 33155-1430
Phone (786) 380-8595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA16936 | Other | FL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA16936 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Betancourt Therapy Corp | Speech-Language Pathologist | Past | Accepting new patients |
| B B Therapy Services Corp | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1831621556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6156 SW 158TH PASS",
"city": "MIAMI",
"state": "FL",
"postal_code": "331933696",
"telephone_number": "786-380-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "381 N KROME AVE STE 206",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330306047",
"telephone_number": "786-410-8922"
}
],
"practiceLocations": [
{
"address_1": "8785 SW 165th Ave",
"address_2": "suite 103",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331935826",
"country_code": "US",
"telephone_number": "786-206-6500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6156 SW 158th Pass",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331933696",
"country_code": "US",
"telephone_number": "786-380-7385",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7385 SW 23rd St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331551430",
"country_code": "US",
"telephone_number": "786-380-8595",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BETANCOURT MESA",
"first_name": "YULEYDIS",
"name_prefix": "Ms.",
"credential": "M.S., SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-31",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA16936",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "SA16936",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.