Provider Type Icon

FLORIDA BEHAVIORAL CENTER INC NPI 1912334863


NPI Information

NPI: 1912334863
Provider Name: FLORIDA BEHAVIORAL CENTER, INC

Doing Business As: FLORIDA HEALTHCARE SYSTEM

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 10D2092120

Address:
1905 NW 82ND AVE
DORAL, FL
ZIP 33126
Phone: (786) 420-5924
Get Directions

FLORIDA BEHAVIORAL CENTER, INC is a community behavioral health in Doral, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. FLORIDA BEHAVIORAL CENTER, INC NPI is 1912334863. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Florida Healthcare System.

The provider's business location address is:

1905 NW 82ND AVE
DORAL, FL
ZIP 33126-011
Phone: (786) 420-5924
Fax: (786) 542-5340

The provider's authorized official is Yessenia Martinez .
The authorized official title is President and has the following contact phone number (786) 420-5924.

The CLIA number assigned to this NPI record is 10D2092120 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2013 and was last updated on 7/21/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)1301FLORIDANo
2101YM0800XCounselorMental HealthNo
3251B00000XCase ManagementNo
4103K00000XBehavior AnalystNo
5106H00000XMarriage & Family TherapistNo
6261QR1100XClinic/CenterResearchNo
7251S00000XCommunity/Behavioral HealthYes
8253Z00000XIn Home Supportive CareNo
9261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
10261QP2300XClinic/CenterPrimary CareNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1009785300MEDICAIDFLORIDA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.