MASTERPIECE BEHAVIORAL SERVICES, LLC (NPI# 1083066971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083066971 |
Entity Type | Organization |
Organization Name | MASTERPIECE BEHAVIORAL SERVICES, LLC |
Practice Address |
3900 Nw 79th Ave Suite 599 Doral FL 33166-6556 |
Practice Telephone | 3052445085 |
Practice Fax Number | 3059068571 |
Mailing Telephone | 3052445085 |
Mailing Fax Number | 3059068571 |
Enumeration Date | 2016-07-05 |
Last Update Date | 2016-07-05 |
Authorized Official Name | MADIANE PEREZ (MANAGER) |
Authorized Official Telephone | 3052445085 |
Authorized Official Credential | LMHC, BCBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | BACB 1-15-21803 | FL | Agencies |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH 10803 | FL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 003762900 | 05 |
Street Address |
3900 NW 79TH AVE SUITE 599 |
City | DORAL |
State | FL |
Zip Code | 33166-6556 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326047366 | Gemini Medical Group Corp | Clinic/Center | 3900 Nw 79th Ave, Suite 704, Doral, FL 33166-6556 | 2005-07-20 |
1942755723 | Caring With Love Center | Clinic/Center | 3900 Nw 79th Ave, Suite 518, Doral, FL 33166-6556 | 2016-08-22 |
1780034512 | Mayda Sarazola | Behavioral Analyst | 3900 Nw 79th Ave, Doral, FL 33166-6556 | 2016-06-13 |
1366891335 | International Research Partners, LLC | Specialist | 3900 Nw 79th Ave, Suite 520, Doral, FL 33166-6556 | 2016-06-09 |
1932557741 | International Medical Practice, LLC | Clinic/Center | 3900 Nw 79th Ave, Suite # 520, Doral, FL 33166-6556 | 2016-06-02 |
1992152193 | Asgles Medical Center Corp | General Practice | 3900 Nw 79th Ave, 594, Doral, FL 33166-6556 | 2016-05-17 |
1578924346 | Bluegreen Behavioral Health Center, Inc | Exclusive Provider Organization | 3900 Nw 79th Ave, Suite 213, Doral, FL 33166-6556 | 2016-03-08 |
1528428372 | Health & Wellness Evolution Co. | Clinic/Center | 3900 Nw 79th Ave, 531, Doral, FL 33166-6556 | 2016-03-07 |
1619341674 | Bernardina Valdez | Behavioral Analyst | 3900 Nw 79th Ave, Suite 501, Doral, FL 33166-6556 | 2015-11-13 |
1164896106 | Jose Raba | Behavioral Analyst | 3900 Nw 79th Ave, Suite 501, Doral, FL 33166-6556 | 2015-11-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407402027 | Sfl Nutrition | Nutritionist | 3901 Nw 79th Ave. Suite 245, #312, Miami, FL 33166 | 2019-08-11 |
1629543590 | Rosa Alina Alayo | Nurse Practitioner | 151 Fairway Dr Unit 2308, Miami Springs, FL 33166 | 2018-10-08 |
1518445618 | Icare Behavior Services, LLC | Behavior Technician | 8180 Nw 36th St Ste 100l, Doral, FL 33166 | 2018-07-31 |
1871087684 | Yohjan Suarez-martinez | Nurse Practitioner | 6221 Nw 36 Th St, Miami, FL 33166 | 2018-06-15 |
1639683709 | Sonia Gloria Garcia | Nurse Practitioner | 7325 Nw 36th St, Miami, FL 33166 | 2017-11-27 |
1891214607 | Jose Sanchez | Early Intervention Provider Agency | 1036 Quail Ave, Miami Springs, FL 33166 | 2017-09-12 |
1659893022 | Yanelis Pineiro | Behavioral Analyst | 249 South Royal Poinciana Boulevard, Apto 202, Miami Springs, FL 33166 | 2017-07-07 |
1720509748 | Roxana Rodriguez | Behavior Technician | 8359 Nw South River Dr, Medley, FL 33166 | 2017-06-29 |
1457881278 | Dairene Gonzalez Ruiz | Behavior Technician | 6501 Nw 36th Street, Suite 411, Virginia Gardens, FL 33166 | 2017-06-14 |
1699204198 | Oz Medical Center Inc | Physical Medicine & Rehabilitation | 3900 Nw 79 Ave., Suite 815, Miami, FL 33166 | 2017-06-08 |
Find all providers in zip 33166 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366067837 | Orlando Granado Diaz | Counselor | 8200 Nw 41st St Ste 315, Doral, FL 33166-6206 | 2020-06-10 |
1467075002 | B Well Community Center Corp | Counselor | 10500 Nw 26th St Ste A102c, Doral, FL 33172-2158 | 2020-05-18 |
1831732817 | Ilan Garcia | Counselor | 8200 Nw 41st St Ste 135, Doral, FL 33166-6204 | 2019-10-23 |
1922665876 | Erika Angulo | Counselor | 8245 Nw 36th St Ste 7, Doral, FL 33166-6636 | 2019-05-28 |
1215411541 | Hope Behavioral Health and Counseling Services, LLC | Counselor | 7225 Nw 25th St Ste 200, Doral, FL 33122-1709 | 2018-09-22 |
1417456153 | Ana Cristina Gouvea | Counselor | 10570 Nw 27th St Ste 102, Doral, FL 33172-2105 | 2018-02-08 |
1063923522 | Kristen Nicole Otero | Counselor | 1414 Nw 107 Ave Suite 109, Doral, FL 33172 | 2017-10-23 |
1033644000 | Susan M. Rodriguez | Counselor | 8100 Nw 53rd St Apt 163, Doral, FL 33166-4796 | 2017-04-26 |
1902345838 | Maria Sanmiguel | Counselor | 5908 Nw 110th Ct, Doral, FL 33178-2812 | 2017-02-12 |
1316399892 | Maria Gomez | Counselor | 8245 Nw 36th St Ste 3, Doral, FL 33166-6636 | 2016-07-07 |
Find all providers in DORAL |
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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.