Advanced Mental Health Clinic Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ADVANCED MENTAL HEALTH CLINIC INC

Practice address

13055 SW 42ND St Ste 104
Miami, FL 33175-3470

Phone

(305) 480-7839

Fax

(305) 480-7892

NPI assigned

Aug 17, 2021

Organization subpart

No

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

Authorized official

Name

Lucia Carreno

Title

Ceo

Phone

(305) 480-7839

Specialties & licenses 1

Addresses

Tax ID family

Advanced Mental Health Clinic Inc2 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.

• Advanced Mental Health Clinic Inc

  • Behavior Analyst
  • Miami, FL
  • NPI 1386312510
  NPD tax ID

Locations

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1922774397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13055 SW 42ND ST STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753470",
            "telephone_number": "305-480-7839",
            "fax_number": "305-480-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13055 SW 42ND ST STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753470",
            "telephone_number": "305-480-7839",
            "fax_number": "305-480-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MENTAL HEALTH CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "CARRENO",
        "authorized_official_first_name": "LUCIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-480-7839"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Miami, FL
• Providers in Miami, 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 Aug 17, 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.