Active NPI
Susan B. Anthony Center, Inc.
- Community/Behavioral Health Agency
- Miramar, FL
National Provider Identifier
1891175683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 1706AD308902
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070669802 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Susan B Anthony Center Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Pembroke Pines, FL
- NPI 1013010222
-
- Community/Behavioral Health Agency
- Miramar, FL
- NPI 1396115986
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.