Organization Active NPI

Susan B. Anthony Center, Inc.

  • Community/Behavioral Health Agency
  • Miramar, FL
National Provider Identifier
1891175683
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1706AD308902 Issued in FL
Legal business name
SUSAN B. ANTHONY CENTER, INC.
Practice address
8910 Miramar Pkwy
Suite #312
Miramar, FL 33025-4100
Phone
(954) 733-6068
Fax
(954) 733-0766
NPI assigned
Jun 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Authorized official

Name
Mr. Dean A. Dalbery
Title
Chief Executive Officer
Phone
(954) 733-6068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1706AD308902 FL Primary

Addresses

Primary practice location

8910 Miramar Pkwy
Suite #312
Miramar, FL 33025-4100

Mailing address

1633 Poinciana Dr
Pembroke Pines, FL 33025-4587
Phone (954) 733-6068

Other identifiers 1

IdentifierTypeStateIssuer
070669802MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Susan B Anthony Center 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

8910 Miramar Pkwy
Ste 312
Miramar, FL 33025
Phone (786) 380-6620

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1891175683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 POINCIANA DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330254587",
            "telephone_number": "954-733-6068",
            "fax_number": "954-733-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 MIRAMAR PKWY",
            "address_2": "SUITE #312",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330254100",
            "telephone_number": "954-733-6068",
            "fax_number": "954-733-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN B. ANTHONY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "DALBERY",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "954-733-6068",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "1706AD308902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070669802",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.