Pridelines Youth Services, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PRIDELINES YOUTH SERVICES, INC.

Doing business as

Pridelines

Practice address

5525 NW 7TH Ave
Miami, FL 33127-1401

Phone

(305) 571-9601

NPI assigned

Jun 1, 2024

Last updated

Jun 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward Summers, PH.D.NPI 1356055594

Title

Executive Director

Phone

(347) 468-6621

Specialties & licenses 4

Addresses

Other names 1

• Pridelines Doing business as

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Edward Summers, PH.D.

  • Addiction (Substance Use Disorder) Counselor
  • Fort Lauderdale, FL
  • NPI 1356055594
  NPD Authorized official
• Mayda Bonilla-Oats, MSN, ARNP, FNP-C

  • Family Nurse Practitioner
  • Miami Beach, FL
  • NPI 1740002088
  NPD
• Teresa Ana Albernas, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Lauderdale, FL
  • NPI 1053918607
  NPD (past)

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

{
    "created_epoch": "1717200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1992546386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14340",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331014340",
            "telephone_number": "305-571-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 NW 7TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331271401",
            "telephone_number": "305-571-9601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 Washington Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331394600",
            "country_code": "US",
            "telephone_number": "305-571-9601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIDELINES YOUTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-01",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "347-468-6621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@pridelines.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1130 Washington Ave Fl 1",
            "city": "Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331394600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pridelines",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pridelines",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Jay Price, MD
• Vanessa Keturah Price, M.D.
• Venessa Price, PHARMD
• Supparerk Prichayudh, M.D.
• Ivonne Prida Simanca
• Yusiet Priedes Rodriguez
• Laritza Priedes
• Carmen Priego Perez
• Lazaro Caridad Priegues, M.D.
• Aiskel Andreina Prieto Bracho

• Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.