125TH STREET NM CORP


Address: 505 Ne 125th St, North Miami, FL 33161-4718
Phone: 9542710485

125TH STREET NM CORP (NPI# 1619352283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619352283
Entity Type Organization
Organization Name 125TH STREET NM CORP
Practice Address 505 Ne 125th St
North Miami
FL 33161-4718
Practice Telephone 9542710485
Mailing Telephone 9542710485
Enumeration Date 2015-07-24
Last Update Date 2016-04-07
Authorized Official Name RENEE DOUTHAT (CDO)
Authorized Official Telephone 9542710485
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist Other Service Providers
N 261QP2000X Clinic/Center
Specialization: Physical Therapy
PMC20 FL Ambulatory Health Care Facilities
Y 2084P0802X Psychiatry & Neurology
Specialization: Addiction Psychiatry
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL ACHA HCC8934 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1255633046 125th Street Nm Corp Clinic/Center 505 Ne 125th St, North Miami, FL 33161-4718 2010-11-30
1578879375 125th Street Nm Corp Clinic/Center 505 Ne 125th St, North Miami, FL 33161-4718 2010-08-31

Office Location

Street Address 505 NE 125TH ST
City NORTH MIAMI
State FL
Zip Code 33161-4718

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568778421 Physical Therapy Experts Inc Occupational Therapist 505 Ne 125th St, North Miami, FL 33161-4718 2010-08-28
1376088039 Seandel Aiken Counselor 505 Ne 125th St, North Miami, FL 33161-4718 2017-01-04
1083159743 Daniel Selsky Social Worker 505 Ne 125th St, North Miami, FL 33161-4718 2017-01-04
1467807370 Comfort Recovery Clinic/Center 505 Ne 125th St, North Miami, FL 33161-4718 2016-04-28
1205299724 Comfort Recovery Clinic/Center 505 Ne 125th St, Suite A, North Miami, FL 33161-4718 2016-04-01
1477912343 Comfort Recovery, Inc. Clinic/Center 505 Ne 125th St, Ste. A, North Miami, FL 33161-4718 2016-02-19
1396033080 125st Nm Corp Specialist 505 Ne 125th St, North Miami, FL 33161-4718 2011-07-14
1255633046 125th Street Nm Corp Clinic/Center 505 Ne 125th St, North Miami, FL 33161-4718 2010-11-30
1578879375 125th Street Nm Corp Clinic/Center 505 Ne 125th St, North Miami, FL 33161-4718 2010-08-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609365907 Silvia Maria Sanchez Del Campo General Practice 412-436 Ne 125th St, North Miami, FL 33161 2018-05-02
1841718806 Christina Collier Student in an Organized Health Care Education/Training Program 12046 Ne 16th Ave, Apt. 5105, Miami, FL 33161 2017-08-30
1477076768 Mariline Suit Assisted Living Facility 960 Ne 136 Street, North Miami, FL 33161 2017-07-19
1588186910 Virtuous Care & Staffing, Inc. In Home Supportive Care 1525 Ne 136th Street, Miami, FL 33161 2017-07-07
1881043222 Elitane Rinville Counselor 11422 Ne 13 Ave., Miami, FL 33161 2016-06-07
1992183529 India Bass Counselor 12635 Ne Miami Ct, North Miami, FL 33161 2015-05-14
1659775781 Loralei Ann Magadia Parchejo Pharmacy Technician 173 Ne 108th St, Miami Shores, FL 33161 2014-10-17
1912307513 Louise Marjori Paul Nurse Practitioner 1190 N.w. 125th Street, Chen Medical North Miami (125th), North Miami, FL 33161 2014-09-02
1598185860 Institute of Wholistic Empowerment Counselor 1065 Ne 125 Street, Suite 317a, North Miami, FL 33161 2014-04-24
1689095689 Sandra Batista Counselor 11031 Ne 6th Avenue, Miami, FL 33161 2013-12-18
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Taxonomy Information

Taxonomy Code 2084P0802X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Addiction Psychiatry

Taxonomy Definition

Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

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1598315251 Webmed Network, LLC Psychiatry & Neurology 8787 Bryan Dairy Rd Ste 370, Largo, FL 33777-1251 2019-09-16
1699331132 Hakuna Matata Psychiatry Services Pllc Psychiatry & Neurology 13123 E Emerald Coast Pkwy # 193, Inlet Beach, FL 32461-9604 2019-05-09
1629540273 Aware Recovery Care of Florida LLC Psychiatry & Neurology 1625 S Congress Ave Ste 301, Delray Beach, FL 33445-6304 2018-12-20
1760981260 Panama City Springs & Recovery Center, Inc Psychiatry & Neurology 1212 W 19th St, Panama City, FL 32405-4104 2018-02-09
1962910570 Palm Beach Neuro and Wellness, LLC Psychiatry & Neurology 2623 S Seacrest Blvd Ste 114, Boynton Beach, FL 33435-7531 2018-01-17
1770090276 Allure Wellness Group LLC Psychiatry & Neurology 7700 W Camino Real Ste 404, Boca Raton, FL 33433-5543 2018-01-05
1861902173 Recreate Life Wellness Group LLC Psychiatry & Neurology 7570 S Federal Hwy Ste 7, Lantana, FL 33462-6060 2017-10-02
1740718519 Drs Billing One Psychiatry & Neurology 560 Village Blvd Suite 325a, West Palm Beach, FL 33409-7562 2017-05-24
1205389749 Physicians Recovery Center Inc Psychiatry & Neurology 4782 W Commercial Blvd, Tamarac, FL 33319-2878 2016-08-02
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Competitor

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City NORTH MIAMI
Zip Code 33161

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Dataset Information

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.

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