Organization Active NPI

Prestige Behavioral & Mental Health Services, Inc

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1962908988
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PRESTIGE BEHAVIORAL & MENTAL HEALTH SERVICES, INC
Practice address
16241 SW 88TH St
Miami, FL 33196-4912
Phone
(305) 921-9337
NPI assigned
Mar 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Authorized official

Name
Gipsy De la Paz, EDD
Title
Human Resorces Supervisor
Phone
(305) 305-7380

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

16241 SW 88TH St
Miami, FL 33196-4912

Mailing address

10505 SW 146TH Ave
Miami, FL 33186-2904
Phone (305) 305-7380

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1962908988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10505 SW 146TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862904",
            "telephone_number": "305-305-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16241 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331964912",
            "telephone_number": "305-921-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE BEHAVIORAL & MENTAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "DE LA PAZ",
        "authorized_official_first_name": "GIPSY",
        "authorized_official_title_or_position": "HUMAN RESORCES SUPERVISOR",
        "authorized_official_telephone_number": "305-305-7380",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 30, 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.