NPIMap

Organization Active NPI

Targeted Case Management of Florida, Inc

  • Behavior Analyst
  • Miami Lakes, FL
National Provider Identifier
1891295515
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
TARGETED CASE MANAGEMENT OF FLORIDA, INC
Practice address
5881 NW 151St St Ste 127
Miami Lakes, FL 33014-2442
Phone
(786) 905-2262
Fax
(786) 398-5500
NPI assigned
Feb 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Mr. Noel Fiallo, CBHCMS
Title
Owner
Phone
(786) 905-2262

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

5881 NW 151St St Ste 127
Miami Lakes, FL 33014-2442

Mailing address

5881 NW 151St St Ste 127
Miami Lakes, FL 33014-2442
Phone (786) 905-2262

Other names 1

  • Sweet Child Behavioral Health Program Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200730001796 FL Part B Supplier - Clinic/Group Practice 2769807338 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Lakes, FL

National Provider Directory

National Provider Directory

Locations

8100 Oak Ln
Ste 404
Miami Lakes, FL 33016
Phone (305) 952-3125

14645 NW 77th Ave
Ste 204
Miami Lakes, FL 33014
Phone (786) 321-1400

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 87

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 87

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1891295515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 NW 151ST ST STE 127",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142442",
            "telephone_number": "786-905-2262",
            "fax_number": "786-398-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 NW 151ST ST STE 127",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142442",
            "telephone_number": "786-905-2262",
            "fax_number": "786-398-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGETED CASE MANAGEMENT OF FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-19",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "FIALLO",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-905-2262",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CBHCMS"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sweet Child Behavioral Health Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.