Individual provider Active NPI

Yoel Vergara Gamez

  • Assistant Behavior Analyst
  • Miami, FL
National Provider Identifier
1902283708
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-21-12784 Issued in FL
Practice address
9420 W Flagler St Apt 208
Miami, FL 33174
Phone
(786) 923-7099
NPI assigned
Apr 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 18-56254 FL
Assistant Behavior Analyst 106E00000X 0-21-12784 FL Primary

Addresses

Primary practice location

9420 W Flagler St Apt 208
Miami, FL 33174

Mailing address

9420 W Flagler St Apt 208
Miami, FL 33174-2024
Phone (786) 923-7099

Other identifiers 1

IdentifierTypeStateIssuer
020774500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18-56254FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Yoel Vergara PA Current Accepting new patients
Sunset Bridge Home Health LLC Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1902283708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 W FLAGLER ST APT 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742024",
            "telephone_number": "786-923-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 W FLAGLER ST APT 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33174",
            "telephone_number": "786-923-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGARA GAMEZ",
        "first_name": "YOEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-30",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "18-56254",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-21-12784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020774500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

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