Organization Active NPI

Genesis Community Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
National Provider Identifier
1912095795
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
HCC5683 Issued in FL
Legal business name
GENESIS COMMUNITY MENTAL HEALTH CENTER INC
Practice address
5040 NW 7TH St Ste 590
Miami, FL 33126-3484
Phone
(305) 445-5551
Fax
(305) 445-5447
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Alejandro Perez
Title
President
Phone
(305) 445-5551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X HCC5683 FL Primary

Addresses

Primary practice location

5040 NW 7TH St Ste 590
Miami, FL 33126-3484

Mailing address

5040 NW 7TH St Ste 590
Miami, FL 33126-3484
Phone (305) 445-5551

National Provider Directory

National Provider Directory

Locations

8201 SW 24th St
Miami, FL 33155
Phone (305) 264-9595

10691 SW 88th St
Ste 307
Miami, FL 33176
Phone (305) 264-9595

5040 NW 7th St
Ste 590
Miami, FL 33126
Phone (305) 445-5551

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1912095795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 NW 7TH ST STE 590",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263484",
            "telephone_number": "305-445-5551",
            "fax_number": "305-445-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 NW 7TH ST STE 590",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263484",
            "telephone_number": "305-445-5551",
            "fax_number": "305-445-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS COMMUNITY MENTAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-445-5551"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "HCC5683",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 28, 2007; 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.