Mito Behavioral Health LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MITO BEHAVIORAL HEALTH LLC

Practice address

7570 S Federal Hwy
Ste 2
Hypoluxo, FL 33462

Phone

(845) 608-9586

NPI assigned

Sep 18, 2024

Last updated

Sep 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samantha Patterson

Title

Billing Manager

Phone

(904) 367-3363

Specialties & licenses 1

Addresses

Tax ID family

Mito Behavioral Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mito Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Hypoluxo, FL
  • NPI 1568299006
  NPD tax ID

Locations

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1902633456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 S FEDERAL HWY",
            "address_2": "STE 2",
            "city": "HYPOLUXO",
            "state": "FL",
            "postal_code": "33462",
            "telephone_number": "845-608-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 S FEDERAL HWY",
            "address_2": "STE 2",
            "city": "HYPOLUXO",
            "state": "FL",
            "postal_code": "33462",
            "telephone_number": "845-608-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITO BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "904-367-3363"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rama Kanout, OD
• Kind Loving Home Care LLC
• Josel Leong, OTR/L
• William Marrocco, MD
• Mito Behavioral Health LLC
• Kamalkumar S Patel, PHARM.D.
• Tania Saintil
• Alice G Santana
• Adriane Schmitt
• Emily Sierra, PSYD

• Case Management Agency in Hypoluxo, FL
• Providers in Hypoluxo, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.