MENTAL CARE MEDICAL CENTER INC NPI 1154932457

NPI Information

NPI: 1154932457
Provider Name: MENTAL CARE MEDICAL CENTER INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
7925 NW 12TH ST STE 225
DORAL, FL
ZIP 33126
Phone: (305) 788-6644
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MENTAL CARE MEDICAL CENTER INC is a mental health (including community mental health center) clinic center in Doral, FL. MENTAL CARE MEDICAL CENTER INC NPI is 1154932457. The provider is registered as an organization entity type.

The provider's business location address is:

7925 NW 12TH ST STE 225
DORAL, FL
ZIP 33126-821
Phone: (305) 788-6644

The provider's authorized official is Pedro A Amador Rodriguez .
The authorized official title is Owner/president and has the following contact phone number (305) 788-6644.

The enumeration date for this NPI number is 8/11/2020 and was last updated on 10/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251B00000X	Case Management		No
2	251S00000X	Community/Behavioral Health		No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	110034600	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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