NPIMap

Organization Active NPI

Nova Community Services Corp

  • Community/Behavioral Health Agency
  • Palmetto Bay, FL
National Provider Identifier
1861089054
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NOVA COMMUNITY SERVICES CORP
Practice address
9867 SW 184TH St
Palmetto Bay, FL 33157-6934
Phone
(786) 732-2287
Fax
(786) 732-2288
NPI assigned
Dec 22, 2020
Last updated
Mar 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Beatriz Caridad Diaz Gonzalez, LEAD BCBANPI 1992343040
Title
President
Phone
(786) 732-2287

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 8

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X
Case Management Agency 251B00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Nurse Practitioner 363L00000X
Family Nurse Practitioner 363LF0000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Behavior Analyst 103K00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

9867 SW 184TH St
Palmetto Bay, FL 33157-6934

Mailing address

9867 SW 184TH St
Palmetto Bay, FL 33157-6934

Other practice location 1

10500 NW 50th St Ste 203
Sunrise, FL 33351-8090
Phone (954) 982-2400

Other identifiers 2

IdentifierTypeStateIssuer
115831500MedicaidFL
116151000MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210521000815 FL Part B Supplier - Clinic/Group Practice 0648679720 Receives reassigned benefits from 6 practitioners
Practice locations: Palmetto Bay, FL

National Provider Directory

National Provider Directory
Tax ID family
Nova Community Services Corp2 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

9867 SW 184th St
Palmetto Bay, FL 33157
Phone (786) 732-2287

10500 NW 50th St
Ste 203
Sunrise, FL 33351
Phone (954) 982-2400

Practitioners & affiliated clinicians

Practitioners 11

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": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1861089054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9867 SW 184TH ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331576934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9867 SW 184TH ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331576934",
            "telephone_number": "786-732-2287",
            "fax_number": "786-732-2288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10500 NW 50th St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333518090",
            "country_code": "US",
            "telephone_number": "954-982-2400",
            "fax_number": "954-982-2538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOVA COMMUNITY SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "DIAZ GONZALEZ",
        "authorized_official_first_name": "BEATRIZ",
        "authorized_official_middle_name": "CARIDAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-732-2287",
        "authorized_official_credential": "LEAD BCBA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115831500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116151000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.