PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA (NPI# 1497906945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497906945 |
| Entity Type | Organization |
| Organization Name | PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA |
| Other Organization Name | JACKSON NORTH COMMUNITY MENTAL HEALTH CENTER-CASE MGT CHILDREN |
| Practice Address |
20201 Nw 37th Ave Miami Gardens FL 33056-1755 |
| Practice Telephone | 7864662700 |
| Practice Fax Number | 7864662748 |
| Mailing Telephone | 7864662700 |
| Mailing Fax Number | 7864662748 |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2019-04-22 |
| Authorized Official Name | MS. MARK KNIGHT (EVP/ CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3055857137 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 912237100 | 05 |
| Other Name | Type Code |
|---|---|
| Jackson North Community Mental Health Center-Case Mgt Children | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639783509 | Public Health Trust of Miami Dade County Florida | General Acute Care Hospital | 2801 Nw 79th Ave, Doral, FL 33122-1174 | 2020-09-08 |
| 1356883011 | Public Health Trust of Miami Dade County Florida | Clinic/Center | 7400 Nw 104th Ave, Suite D 101, Doral, FL 33178-3332 | 2016-11-12 |
| 1225409683 | Public Health Trust of Miami Dade County Florida | Clinic/Center | 18910 S Dixie Hwy, Cutler Bay, FL 33157-7711 | 2015-10-12 |
| 1801966676 | Public Health Trust of Miami Dade County Florida | Clinic/Center | 28205 Sw 125th Ave, Homestead, FL 33033-1250 | 2006-11-09 |
| 1659441871 | Public Health Trust of Miami Dade County Florida | Clinic/Center | 615 Collins, Miami Beach, FL 33139-6213 | 2006-11-08 |
| 1114944089 | Public Health Trust of Miami Dade County Florida | General Practice | 14101 Nw 8th Ave, Miami, FL 33168-6816 | 2006-07-16 |
| 1225033020 | Public Health Trust of Miami Dade County Florida | General Acute Care Hospital | 1611 Nw 12th Street, Miami, FL 33136-1005 | 2005-06-17 |
| 1063417483 | Public Health Trust of Miami Dade County Florida | Clinic/Center | 15055 Nw 27 Avenue, Opa-locka, FL 33054-3365 | 2005-06-14 |
| 1194289157 | Public Health Trust of Miami Dade County Florida | Pharmacy | 9333 Sw 152nd Street, Miami, FL 33157 | 2019-01-24 |
| 1306216528 | Public Health Trust of Miami Dade County Florida | Clinic/Center | 13707 Sw 152nd St, Miami, FL 33177-1106 | 2015-09-30 |
| Street Address |
20201 NW 37TH AVE |
| City | MIAMI GARDENS |
| State | FL |
| Zip Code | 33056-1755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649599325 | Vivian Michael Walker | Social Worker | 20201 Nw 37th Ave, Miami Gardens, FL 33056-1755 | 2010-05-20 |
| 1831340900 | Public Health Trust of Dade County Florida | Clinic/Center | 20201 Nw 37th Ave, Miami Gardens, FL 33056-1755 | 2008-10-07 |
| 1487805651 | Public Health Trust of Dade County Florida | Clinic/Center | 20201 Nw 37th Ave, Miami Gardens, FL 33056-1755 | 2008-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912475898 | Dory Ailec Abellon Mederos | Behavior Technician | 3270 Nw 208 St, Miami Garden, FL 33056 | 2018-11-08 |
| 1356867121 | Sonya Hunter | Case Management | 2200 Nw 193rd Terrace, Miami, FL 33056 | 2017-08-14 |
| 1144759531 | Spirit Residential Group Home | Clinic/Center | 17311 N.w 33 Ct, Miami Gardens, FL 33056 | 2017-06-08 |
| 1942744735 | Medicode Network Solutions | Durable Medical Equipment & Medical Supplies | 16805 Nw 24 Ct, Miami, FL 33056 | 2016-12-13 |
| 1114317013 | Mental Health Counseling of South Florida LLC | Social Worker | 18656 Nw 47 Ave, #102 F, Miami Gardens, FL 33056 | 2015-01-29 |
| 1568713956 | A Sweet Adult Care Alf, Inc | Assisted Living Facility | 2751 Nw 209th Terra, Miami Gardens, FL 33056 | 2012-09-25 |
| 1093006660 | Gloria Jean Roan | Respiratory Therapist, Registered | 2320 Nw 187th Street, Miami Garden, FL 33056 | 2011-04-29 |
| 1891091690 | Barry M Gillman | Chiropractor | 17325 Nw 27th Avenue, Suite 111, Miami, FL 33056 | 2011-01-27 |
| 1245363381 | Wal-mart Stores, Inc. | Technician/Technologist | 19501 Northwest 27th Ave., Miami Gardens, FL 33056 | 2007-03-14 |
| 1689719213 | Great Care Pharmacy Inc | Pharmacy | 17560 Nw 27 Ave, Suite 107, Miami Gardens, FL 33056 | 2007-02-21 |
| Find all providers in zip 33056 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937290 | In The Name of Children, LLC | Clinic/Center | 300 S Pine Island Rd Ste 224, Plantation, FL 33324-2620 | 2020-09-22 |
| 1700403698 | True Care Home Services Inc | Clinic/Center | 9139 Sw 227th Ter, Cutler Bay, FL 33190-1977 | 2020-06-26 |
| 1225661473 | The Center for Advanced Neurosciences | Clinic/Center | 13337 Sw 44th St, Davie, FL 33330-4713 | 2020-02-17 |
| 1528628856 | Modern Reality | Clinic/Center | 200 Knuth Rd Ste 101, Boynton Beach, FL 33436-4635 | 2019-06-18 |
| 1801450515 | Inspirational Care Counseling LLC | Clinic/Center | 12630 Bramfield Dr, Riverview, FL 33579-7774 | 2019-04-29 |
| 1942769567 | Veronica Castro, Psy.d., Pa | Clinic/Center | 9380 Sunset Dr Ste B165, Miami, FL 33173-5456 | 2019-03-13 |
| 1780159061 | Solutions Center for Personal Growth | Clinic/Center | 664 Se Monterey Rd, Stuart, FL 34994-4410 | 2018-10-12 |
| 1821595281 | Inspirations Youth Academy LLC | Clinic/Center | 757 South East 17th Street, Fort Lauderdale, FL 33316-2960 | 2018-04-11 |
| 1558867341 | All Star Children's Foundation | Clinic/Center | 3308 17th St, Sarasota, FL 34235-8904 | 2018-04-02 |
| 1598268906 | Risen Consultants LLC | Clinic/Center | 1470 Nw 107th Ave Unit19r, Sweetwater, FL 33172-2735 | 2018-03-12 |
| Find all providers with the same taxonomy | ||||
| City | MIAMI GARDENS |
| Zip Code | 33056 |
Please comment or provide details below to improve the information on PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA.
| 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.