NPIMap

Organization Active NPI

Sunshine Community & Behavior Services Corp

  • Behavior Analyst
  • Florida City, FL
National Provider Identifier
1962110619
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SUNSHINE COMMUNITY & BEHAVIOR SERVICES CORP
Practice address
33550 S Dixie Hwy Ste 106
Florida City, FL 33034-5651
Phone
(786) 601-7689
NPI assigned
Nov 11, 2022
Last updated
Nov 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Authorized official

Name
Otto Marquez Mendoza, MDNPI 1679950695
Title
Owner
Phone
(305) 431-1376

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 Analyst 103K00000X NU Primary

Addresses

Primary practice location

33550 S Dixie Hwy Ste 106
Florida City, FL 33034-5651

Mailing address

33550 S Dixie Hwy Ste 106
Florida City, FL 33034-5651

National Provider Directory

National Provider Directory
Tax ID family
Sunshine Community Behavior Services Corp2 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.

Locations

33550 S Dixie Hwy
Ste 106
Homestead, FL 33034
Phone (305) 431-1376

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1962110619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33550 S DIXIE HWY STE 106",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330345651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33550 S DIXIE HWY STE 106",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330345651",
            "telephone_number": "786-601-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE COMMUNITY & BEHAVIOR SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ MENDOZA",
        "authorized_official_first_name": "OTTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-431-1376",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florida City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.