Organization Active NPI

Mental Healthnetwork , Inc

  • Behavior Analyst
  • Tavernier, FL
National Provider Identifier
1841838265
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MENTAL HEALTHNETWORK , INC
Practice address
91831 Overseas Hwy Ste C
Tavernier, FL 33070-2647
Phone
(305) 998-4949
Fax
(305) 998-4680
NPI assigned
Dec 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Roxana Valderrama
Title
Ceo
Phone
(305) 998-4949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

91831 Overseas Hwy Ste C
Tavernier, FL 33070-2647

Mailing address

91831 Overseas Hwy Ste C
Tavernier, FL 33070-2647
Phone (305) 998-4949

Other practice location 1

43 NE 10th St
Homestead, FL 33030-4613
Phone (305) 242-3110

Other identifiers 1

IdentifierTypeStateIssuer
108007500MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Mental Health Network Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1841838265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91831 OVERSEAS HWY STE C",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702647",
            "telephone_number": "305-998-4949",
            "fax_number": "305-998-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91831 OVERSEAS HWY STE C",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702647",
            "telephone_number": "305-998-4949",
            "fax_number": "305-998-4680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 NE 10th St",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330304613",
            "country_code": "US",
            "telephone_number": "305-242-3110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENTAL HEALTHNETWORK , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2021-07-13",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "VALDERRAMA",
        "authorized_official_first_name": "ROXANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-998-4949"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108007500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavernier, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.