Organization Active NPI

Kid Centered Therapy

Doing business as Cerberus

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1932695434
Registry record updated Jul 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KID CENTERED THERAPY
Doing business as
Cerberus
Kid Centered Therapy
Practice address
13012 SW 143Rd Ter
Miami, FL 33186-8397
Phone
(130) 556-2004
NPI assigned
Jul 8, 2018
Last updated
Jul 8, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
CERBERUS CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2018

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

Authorized official

Name
Mrs. Siriporn Cerber, LCSW
Title
President
Phone
(130) 556-2004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X FL Primary

Addresses

Primary practice location

13012 SW 143Rd Ter
Miami, FL 33186-8397

Mailing address

13012 SW 143Rd Ter
Miami, FL 33186-8397
Phone (130) 556-2004

Other identifiers 1

IdentifierTypeStateIssuer
022328200MedicaidFL

Other names 2

  • Cerberus Doing business as
  • Kid Centered Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kid Centered Therapy2 organizations share this tax ID, including this one
Part of
Kid Centered Therapy

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1531008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531008000000",
    "number": "1932695434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13012 SW 143RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331868397",
            "telephone_number": "130-556-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13012 SW 143RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331868397",
            "telephone_number": "130-556-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID CENTERED THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CERBERUS CORP",
        "enumeration_date": "2018-07-08",
        "last_updated": "2018-07-08",
        "status": "A",
        "authorized_official_last_name": "CERBER",
        "authorized_official_first_name": "SIRIPORN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "130-556-2004",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022328200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cerberus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kid Centered Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 8, 2018; 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.