AUTISM SPECIALTY GROUP LLC (NPI# 1023376217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023376217 |
| Entity Type | Organization |
| Organization Name | AUTISM SPECIALTY GROUP LLC |
| Other Organization Name | AUTISM SPECIALTY GROUP |
| Practice Address |
429 Lenox Ave Miami Beach FL 33139-6532 |
| Mailing Address |
Po Box 12618 Miami FL 33101-2618 |
| Practice Telephone | 3057671924 |
| Mailing Telephone | 3057671924 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2016-12-01 |
| Authorized Official Name | MR. CHRISTOPH RONACHER (OWNER/ CLINICAL DIRECTOR) |
| Authorized Official Telephone | 3057671924 |
| Authorized Official Credential | M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | 1-10-7874 | FL | Behavioral Health & Social Service Providers |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 016704400 | 05 |
| Other Name | Type Code |
|---|---|
| Autism Specialty Group | Doing Business As Name - Organization |
| Street Address |
429 LENOX AVE |
| City | MIAMI BEACH |
| State | FL |
| Zip Code | 33139-6532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073752242 | Eclipse Medical Diagnostics LLC | Clinic/Center | 429 Lenox Ave, Ste 4c20, Miami Beach, FL 33139-6532 | 2009-02-11 |
| 1023588662 | Maribel Rivero Socarras | Behavior Technician | 429 Lenox Ave, Miami Beach, FL 33139-6532 | 2018-11-27 |
| 1538635412 | Judith Gabriela Mayorga | Behavior Technician | 429 Lenox Ave, Miami Beach, FL 33139-6532 | 2018-10-18 |
| 1598230872 | Milagro Daal | Behavior Technician | 429 Lenox Ave, Miami Beach, FL 33139-6532 | 2018-10-12 |
| 1598251860 | Johnny Gutierrez | Behavior Technician | 429 Lenox Ave, Miami Beach, FL 33139-6532 | 2018-07-10 |
| 1346731809 | Michel Fernandez Perez | Behavior Technician | 429 Lenox Ave, Miami Beach, FL 33139-6532 | 2018-05-21 |
| 1023527546 | Yolanda Guzman Caceda | Behavior Technician | 429 Lenox Ave, Miami Beach, FL 33139-6532 | 2017-09-27 |
| 1871002378 | Ciaran Tracey | Behavior Technician | 429 Lenox Ave, Miami Beach, FL 33139-6532 | 2017-09-27 |
| 1245750082 | Niubis Robaina | Behavior Technician | 429 Lenox Ave, Miami Beach, FL 33139-6532 | 2017-06-22 |
| 1043553563 | Jarred Evan Mait | General Practice | 429 Lenox Ave, Miami Beach, FL 33139-6532 | 2013-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973061 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 709 Alton Road Suite 430, Miami Beach, FL 33139 | 2019-10-14 |
| 1811548308 | Yoel O Guerra | Behavior Technician | 800 West Ave Apt 942, Miami Beach, FL 33139 | 2019-09-25 |
| 1285153239 | Stella Kocovic Villacorta | Internal Medicine | 709 Alton Road, Suite 440, Miami Beach, FL 33139 | 2017-09-11 |
| 1922524164 | Noel De Leon | Pharmacist | 730 15 Street Apt 1-d, Miami Beach, FL 33139 | 2017-08-18 |
| 1861916868 | Susana Cruz | Behavior Technician | 710 Washinghton Ave Apt# 223, Miami Beach, FL 33139 | 2017-08-01 |
| 1730627530 | Viviana Yerex | Behavior Technician | 800 West Ave. Apt. 602, Miami Beach, FL 33139 | 2017-02-01 |
| 1841662921 | Miami Beach Holistic Addiction Treatment Center | Substance Abuse Rehabilitation Facility | 309 23rd Street Ste 200-c, Miami Beach, FL 33139 | 2015-10-28 |
| 1609245778 | Borinquen Health Care Center Inc | Clinic/Center | 1050 4th Street, South Pointe Elementary, Miami Beach, FL 33139 | 2015-09-18 |
| 1558730622 | Borinquen Health Care Center Inc | Clinic/Center | 1420 Washington Avenue, Fienberg Fisher K-8, Miami Beach, FL 33139 | 2015-09-18 |
| 1407238603 | Wayne Holman | General Practice | 500 South Pointe Drive Suite 220, C/o Ridgeback Capital Management, Miami Beach, FL 33139 | 2015-06-24 |
| Find all providers in zip 33139 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083606495 | Care Resource Community Health Centers, Inc. | Community/Behavioral Health | 1680 Michigan Ave Ste 912, Miami Beach, FL 33139 | 2005-08-22 |
| 1427453497 | Oxford Counseling Services, Inc. | Community/Behavioral Health | 4308 Alton Rd, Suite 420, Miami Beach, FL 33140-4556 | 2014-11-03 |
| 1316362254 | Michelle Bortnik | Community/Behavioral Health | 333 W 41st St, Suite 208-219, Miami Beach, FL 33140-3641 | 2014-03-02 |
| 1588720965 | Douglas Gardens Cmhc | Community/Behavioral Health | 701 Lincoln Rd, Suite 200, Miami Beach, FL 33139-2879 | 2006-12-29 |
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| 1255932992 | Dfd Therapy Services LLC | Community/Behavioral Health | 2742 Sw 8th St Ste 8, Miami, FL 33135-4636 | 2020-11-07 |
| 1952902611 | Tallon Medical Center Inc | Community/Behavioral Health | 5600 Sw 135th Ave Ste 110, Miami, FL 33183-5125 | 2020-11-07 |
| 1356942288 | Sol Community Center, Corp | Community/Behavioral Health | 8550 W Flagler St Ste 118, Miami, FL 33144-2037 | 2020-11-06 |
| 1104427632 | Sunzup Counseling and Wellness | Community/Behavioral Health | 3355 Claire Ln Apt 1116, Jacksonville, FL 32223-6662 | 2020-11-02 |
| 1235739806 | Twins Medical Services Corp | Community/Behavioral Health | 4051 E 8th Ave Ste 5, Hialeah, FL 33013-2800 | 2020-10-31 |
| 1558961110 | Family Evolution Mental Health Care Inc | Community/Behavioral Health | 2500 Nw 79th Ave Ste 255, Doral, FL 33122-1087 | 2020-10-31 |
| 1538769534 | Psycare LLC | Community/Behavioral Health | 10740 W Flagler St Ste 112, Miami, FL 33174-4405 | 2020-10-28 |
| 1508466533 | Exceptional Healthcare Services Corp | Community/Behavioral Health | 13240 N Cleveland Ave Ste 1, North Fort Myers, FL 33903-4855 | 2020-10-28 |
| 1417556903 | Genesis Community Mental Health LLC | Community/Behavioral Health | 6043 Nw 167th St Ste A10, Hialeah, FL 33015-4322 | 2020-10-26 |
| 1871192328 | Wellness Community & Medical Center Inc | Community/Behavioral Health | 946 E 25th St, Hialeah, FL 33013-3404 | 2020-10-25 |
| Find all providers with the same taxonomy | ||||
| City | MIAMI BEACH |
| Zip Code | 33139 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.