SUNRISE MEDICAL & COMMUNITY MENTAL HEALTH CENTER CORP (NPI# 1942668900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942668900 |
| Entity Type | Organization |
| Organization Name | SUNRISE MEDICAL & COMMUNITY MENTAL HEALTH CENTER CORP |
| Practice Address |
100 Nw 82nd Ave Ste 402 Plantation FL 33324-1835 |
| Practice Telephone | 7862175427 |
| Practice Fax Number | 7866157059 |
| Mailing Telephone | 7862175427 |
| Mailing Fax Number | 7866157059 |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2018-11-14 |
| Authorized Official Name | NATACHA VALDES (OWNER) |
| Authorized Official Telephone | 7862175427 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
100 NW 82ND AVE STE 402 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33324-1835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497266415 | Sunrise Mental Health Service Corp. | Case Management | 100 Nw 82nd Ave Ste 402, Plantation, FL 33324-1835 | 2017-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| 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 |
|---|---|---|---|---|
| 1861841827 | Aheb Rehabilitation Clinic, Inc. | Community/Behavioral Health | 6299 W Sunrise Blvd Ste 108, Plantation, FL 33313-6177 | 2016-06-09 |
| 1427425263 | Envision Counseling Services, LLC | Community/Behavioral Health | 4321 Nw 6th St, Plantation, FL 33317-2139 | 2015-08-27 |
| 1497131338 | Dr. Laura M Kubat, Inc. | Community/Behavioral Health | 1401 Sw 66th Ter, Plantation, FL 33317-5131 | 2015-08-03 |
| 1356731921 | Caryn Watsky-scileppi, Ph.d., P.a. | Community/Behavioral Health | 10928 Nw 18th Dr, Plantation, FL 33322-3442 | 2015-02-03 |
| 1891035572 | Tammy L Staples LLC | Community/Behavioral Health | 7390 Nw 5th St Ste 5, Plantation, FL 33317-1610 | 2013-02-18 |
| 1700159332 | Childnet, Inc. | Community/Behavioral Health | 313 N. State Rd. 7, Plantation, FL 33317 | 2012-02-13 |
| 1821303801 | Guy A. Wheeler Group | Community/Behavioral Health | 4330 West Broward Boulevard, Suite R, Plantation, FL 33317-3754 | 2010-08-13 |
| 1508020710 | Professional Retirement Home, Inc | Community/Behavioral Health | 1900 Sw 51st Ter, Plantation, FL 33317-5416 | 2008-07-16 |
| 1376746446 | Behavior Strategies Consulting LLC | Community/Behavioral Health | 9351 Nw 10th Ct, Plantation, FL 33322-4929 | 2007-06-07 |
| 1063556413 | National Mentor Healthcare LLC | Community/Behavioral Health | 600 N Pine Island Rd, Suite 230, Plantation, FL 33324-1393 | 2007-02-19 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33324 |
Please comment or provide details below to improve the information on SUNRISE MEDICAL & COMMUNITY MENTAL HEALTH CENTER CORP.
| 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.