Individual provider Active NPI

Maelys C Morejon

  • Behavior Analyst
  • Doral, FL
National Provider Identifier
1861994816
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-65947 Issued in FL
Practice address
7875 NW 12TH St Ste 109
Doral, FL 33126-1815
Phone
(786) 269-3502
Fax
(305) 468-6154
NPI assigned
Mar 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-21-12899 FL
Behavior Analyst 103K00000X 1-23-65947 FL Primary

Addresses

Primary practice location

7875 NW 12TH St Ste 109
Doral, FL 33126-1815

Mailing address

155 W 31St St
Hialeah, FL 33012-5418
Phone (786) 975-6234

Other identifiers 1

IdentifierTypeStateIssuer
103054800MedicaidFL

Other names 1

  • Ms. Maelys NA Morejon Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Minds Psychological Services CurrentSince Mar 13, 2022 Accepting new patients
Miami Center for Cognitive Therapy, LLC Past Accepting new patients

Locations

7875 NW 12th St
Ste 109
Doral, FL 33126
Phone (786) 269-3502

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": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1861994816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W 31ST ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125418",
            "telephone_number": "786-975-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7875 NW 12TH ST STE 109",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261815",
            "telephone_number": "786-269-3502",
            "fax_number": "305-468-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREJON",
        "first_name": "MAELYS",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-21-12899",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-65947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103054800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAELYS",
            "last_name": "MOREJON",
            "middle_name": "NA",
            "prefix": "MS.",
            "credential": "BEHAVIOR ANALYST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.