Elder Life Mental Health Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ELDER LIFE MENTAL HEALTH INC

Practice address

18142 SW 97TH Ave
Palmetto Bay, FL 33157-5501

Phone

(786) 830-4316

NPI assigned

Aug 23, 2023

Organization subpart

Yes

Parent organization

ELDER LIFE MENTAL HEALTH INCAs reported in NPPES

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

Authorized official

Name

Betsy Guevara Ruiz, RBT

Title

President

Phone

(786) 830-4316

Specialties & licenses 2

Addresses

Other names 1

• GUEVARA MEDICAL SERVICES Doing business as

Part of

Elder Life Mental Health Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Elder Life Mental Health Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Palmetto Bay, FL
  • NPI 1003581240
  NPPES parent name

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1891579538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18142 SW 97TH AVE",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575501",
            "telephone_number": "786-830-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18142 SW 97TH AVE",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575501",
            "telephone_number": "786-830-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER LIFE MENTAL HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELDER LIFE MENTAL HEALTH INC",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "GUEVARA RUIZ",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-830-4316",
        "authorized_official_credential": "RBT"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GUEVARA MEDICAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Early Beginnings, Inc
• Early Intervention Behavioral Services Corp
• Wendy Phreud Edmond, AC-AGNP
• Edward L Cutler MD Fa CP Professional Association
• Elder Life Mental Health Inc
• Elitedent PB
• Emergent Physicians of Palmetto Bay, LLC
• Daisy Enamorado
• Alexandra Englert, LMHC, LMFT
• Alexandra N Esco, RMHCI

• General Practice Physician in Palmetto Bay, FL
• Providers in Palmetto Bay, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.