Individual provider Active NPI

Enelyn Hidalgo Gato

  • Behavior Technician
  • Hialeah, FL
National Provider Identifier
1992453336
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
8000 NW 175TH St
Hialeah, FL 33015-3638
Phone
(786) 282-9071
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X FL Primary

Addresses

Primary practice location

8000 NW 175TH St
Hialeah, FL 33015-3638

Mailing address

8000 NW 175TH St
Hialeah, FL 33015-3638
Phone (786) 282-9071

Other identifiers 1

IdentifierTypeStateIssuer
107386200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL stepupbehavioral@yahoo.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1992453336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 NW 175TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153638",
            "telephone_number": "786-282-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 NW 175TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153638",
            "telephone_number": "786-282-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDALGO GATO",
        "first_name": "ENELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107386200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "stepupbehavioral@yahoo.com",
            "affiliation": "N",
            "address_1": "8000 NW 175th St",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330153638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.