Organization Active NPI

1St Jpa Behavior Management Clinic Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cutler Bay, FL
National Provider Identifier
1972903524
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
1ST JPA BEHAVIOR MANAGEMENT CLINIC INC
Practice address
19001 SW 106TH Ave
Suite C103
Cutler Bay, FL 33157-7669
Phone
(786) 523-2352
Fax
(786) 431-4078
NPI assigned
Sep 2, 2014
Last updated
Oct 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Amarilys PerezNPI 1396271623
Title
President
Phone
(786) 200-7425

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X FL
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X FL Primary
Mental Health Counselor 101YM0800X FL
Marriage & Family Therapist 106H00000X FL
Contractor 171W00000X NU
Behavior Analyst 103K00000X FL
Community/Behavioral Health Agency 251S00000X FL

Addresses

Primary practice location

19001 SW 106TH Ave
Suite C103
Cutler Bay, FL 33157-7669

Mailing address

19001 SW 106TH Ave Ste C103
Cutler Bay, FL 33157-7669
Phone (786) 523-2352

Other identifiers 3

IdentifierTypeStateIssuer
018511200MedicaidFL
014923500MedicaidFL
014923501MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150804005923 FL Part B Supplier - Clinic/Group Practice 1759695745 Receives reassigned benefits from 3 practitioners
Practice locations: Cutler Bay, FL

National Provider Directory

National Provider Directory
Tax ID family
1St Jpa Behavior Management 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.

Locations

19001 SW 106th Ave
Ste 103
Cutler Bay, FL 33157

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 7

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": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1972903524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19001 SW 106TH AVE STE C103",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577669",
            "telephone_number": "786-523-2352",
            "fax_number": "786-431-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19001 SW 106TH AVE",
            "address_2": "SUITE C103",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577669",
            "telephone_number": "786-523-2352",
            "fax_number": "786-431-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST JPA BEHAVIOR MANAGEMENT CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "AMARILYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-200-7425"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018511200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014923500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014923501",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.