Organization Active NPI

Prestige Medical Solutions

Doing business as Prestige Behavioral Group

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1942667423
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PRESTIGE MEDICAL SOLUTIONS
Doing business as
Prestige Behavioral Group
Practice address
13701 SW 88TH St Ste 305
Miami, FL 33186-1309
Phone
(786) 703-6218
NPI assigned
Jan 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Annie Bouchereau
Title
President
Phone
(954) 925-3844

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

13701 SW 88TH St Ste 305
Miami, FL 33186-1309

Mailing address

4662 N.W. 107 Avenue #1903
Miami, FL 33178
Phone (786) 703-6218

Other names 1

  • Prestige Behavioral Group Doing business as

National Provider Directory

National Provider Directory

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": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1942667423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4662 N.W. 107 AVENUE #1903",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33178",
            "telephone_number": "786-703-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 SW 88TH ST STE 305",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861309",
            "telephone_number": "786-703-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE MEDICAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2022-11-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "BOUCHEREAU",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-925-3844"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Behavioral Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prestige Behavioral Group",
            "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 Nov 14, 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.