Psy Elder Care Corp

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PSY ELDER CARE CORP

Practice address

5399 NW 36TH St Unit C
Miami Springs, FL 33166-5913

Phone

(786) 525-6350

NPI assigned

Jan 13, 2021

Organization subpart

No

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

Authorized official

Name

Nelson Angel Diaz MorgadoNPI 1215553813

Title

President

Phone

(786) 525-6350

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Nelson A Diaz Morgado

  • Behavior Technician
  • Coral Gables, FL
  • NPI 1215553813
  NPD Authorized official

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1891384947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5399 NW 36TH ST UNIT C",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665913",
            "telephone_number": "786-525-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5399 NW 36TH ST UNIT C",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665913",
            "telephone_number": "786-525-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSY ELDER CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "DIAZ MORGADO",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-525-6350"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY 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": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Miami Springs, FL
• Providers in Miami Springs, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.