Organization Active NPI

Chrysalis Behavioral Health LLC

  • Behavior Analyst
  • Doral, FL
National Provider Identifier
1922716356
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CHRYSALIS BEHAVIORAL HEALTH LLC
Practice address
8350 NW 52ND Ter Ste 301-138
Doral, FL 33166-7811
Phone
(786) 548-8414
NPI assigned
Nov 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Authorized official

Name
Marilyn Alonso, BCBANPI 1265920144
Title
Owner
Phone
(305) 582-7528

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

8350 NW 52ND Ter Ste 301-138
Doral, FL 33166-7811

Mailing address

8350 NW 52ND Ter Ste 301-138
Doral, FL 33166-7811
Phone (786) 548-8414

National Provider Directory

National Provider Directory

Locations

8350 NW 52nd Ter
Ste 301138
Doral, FL 33166
Phone (786) 548-8414

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1922716356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 NW 52ND TER STE 301-138",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331667811",
            "telephone_number": "786-548-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 NW 52ND TER STE 301-138",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331667811",
            "telephone_number": "786-548-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "ALONSO",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-582-7528",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.