Individual provider Active NPI

Roberto Sanchez, LMHC, PSY. D.

  • Mental Health Counselor
  • North Bay Village, FL
National Provider Identifier
1922334838
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH6990 Issued in FL
Practice address
1440 J F Kennedy Cswy
Suite 401
North Bay Village, FL 33141-4188
Phone
(305) 926-9742
Fax
(305) 926-9742
NPI assigned
Oct 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH6990 FL Primary

Addresses

Primary practice location

1440 J F Kennedy Cswy
Suite 401
North Bay Village, FL 33141-4188

Mailing address

1440 J F Kennedy Cswy
Suite 401
North Bay Village, FL 33141-4188
Phone (305) 926-9742

Other identifiers 1

IdentifierTypeStateIssuer
684466996MedicaidFL

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
MH6990FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1922334838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 J F KENNEDY CSWY",
            "address_2": "SUITE 401",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414188",
            "telephone_number": "305-926-9742",
            "fax_number": "305-926-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 J F KENNEDY CSWY",
            "address_2": "SUITE 401",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414188",
            "telephone_number": "305-926-9742",
            "fax_number": "305-926-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "LMHC, PSY. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-28",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "684466996",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bay Village, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.