COMMUNITY BEHAVIORAL MANAGEMENT,INC (NPI# 1083966642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083966642 |
Entity Type | Organization |
Organization Name | COMMUNITY BEHAVIORAL MANAGEMENT,INC |
Practice Address |
3 Sw 129th Ave Ste 203 Pembroke Pines FL 33027-1779 |
Mailing Address |
9440 Nw 35th Ct Miami FL 33147-2730 |
Practice Telephone | 7862305396 |
Practice Fax Number | 7864311491 |
Mailing Telephone | 7862305396 |
Mailing Fax Number | 7864311491 |
Enumeration Date | 2012-10-07 |
Last Update Date | 2020-03-11 |
Authorized Official Name | DR. LIDICE GISEL CARRILLO (TARGETED CASE MANAGER/PRESIDENT) |
Authorized Official Telephone | 7862305396 |
Authorized Official Credential | BS,FMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
N | 251S00000X | Community/Behavioral Health | Agencies | ||
Y | 251B00000X | Case Management | Agencies |
Street Address |
3 SW 129TH AVE STE 203 |
City | PEMBROKE PINES |
State | FL |
Zip Code | 33027-1779 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538419049 | German Gomez Guillen | Social Worker | 3 Sw 129th Ave Ste 203, Pembroke Pines, FL 33027-1779 | 2012-09-12 |
1235738808 | Marlon Andres Cruz Gorgoy | Behavior Technician | 3 Sw 129th Ave Ste 203, Pembroke Pines, FL 33027-1779 | 2020-10-23 |
1205433604 | Herly Hernandez Santana | Behavior Technician | 3 Sw 129th Ave Ste 203, Pembroke Pines, FL 33027-1779 | 2020-10-08 |
1356969018 | Rita Maria Uguet | Behavior Technician | 3 Sw 129th Ave Ste 203, Pembroke Pines, FL 33027-1779 | 2020-07-09 |
1003442468 | Ashley Viviana Andino | Behavior Technician | 3 Sw 129th Ave Ste 203, Pembroke Pines, FL 33027-1779 | 2020-03-18 |
1669872248 | Lidice Carrillo | Social Worker | 3 Sw 129th Ave Ste 203, Pembroke Pines, FL 33027-1779 | 2014-09-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609474808 | A&d Community Mental Health, LLC | Community/Behavioral Health | 1333 Sw 16th Ave, Pembroke Pines, FL 33027 | 2020-10-12 |
1275172256 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12681 Miramar Parkway, Miramar, FL 33027 | 2019-12-23 |
1902449424 | Marine M Brown | Nurse Practitioner | 4343 Sw 128th Avenue, Mirmar, FL 33027 | 2019-10-28 |
1427699107 | Suncare Therapy, Inc | Physical Therapist | 111 Grant Palms Dr, Pembroke Pines, FL 33027 | 2019-10-03 |
1245888080 | Nicole Angelique Munoz | Nurse Practitioner | 12600 Pembroke Rd Ste 200, Miramar, FL 33027 | 2019-08-26 |
1770052334 | Katalyst Health, LLC | Family Medicine | 14704 Sw 11 Street, Pembroke Pines, FL 33027 | 2018-11-13 |
1700362076 | Jovani Miguel Gonzalez | Dentist | 3600 Sw 163rd Ave, Miramar, FL 33027 | 2018-07-19 |
1336648310 | Janelle Monique Mitchell | Behavior Technician | 3350 Sw 148th Ave Suite 110, Miramar, FL 33027 | 2018-02-06 |
1437667557 | Elizabeth Connors | Specialist/Technologist | 17089 Sw 16th St, Pembroke Pines, FL 33027 | 2018-01-11 |
1992217806 | Bibi Farida Roberts | Counselor | 3590 Sw 142nd Ave, Miramar, FL 33027 | 2017-11-01 |
Find all providers in zip 33027 |
Taxonomy Code | 251B00000X |
Grouping | Agencies |
Classification | Case Management |
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275036550 | Long Life Behavioral Services Inc | Case Management | 9050 Pines Blvd Ste 355, Pembroke Pines, FL 33024-6422 | 2018-03-13 |
1669917282 | Novelty Care Solutions | Case Management | 7000 Sw 9th St, Pembroke Pines, FL 33023-1639 | 2017-01-05 |
1710303896 | Millenium Clinic, Inc | Case Management | 1152 N University Dr, Pembroke Pines, FL 33024-5000 | 2014-03-12 |
1134566532 | Caring for Us | Case Management | 526 Sw 147th Ter, Pembroke Pines, FL 33027-6110 | 2013-05-28 |
1972862126 | Culmer Counseling Services, LLC | Case Management | 430 Sw 178th Way, Pembroke Pines, FL 33029-4100 | 2012-05-09 |
1700976107 | Salam Care,inc | Case Management | 1671 Pinetree Ln, Pembroke Pines, FL 33026-3010 | 2006-10-14 |
1760430896 | Goodlife Professionals, Inc. | Case Management | 1480 Nw 94th Ave, Pembroke Pines, FL 33024-4568 | 2006-05-04 |
1780122218 | Behavioral Centers of South Florida | Case Management | 1806 N Flamingo Rd, Suite 280, Pembroke Pines, FL 33028-1026 | 2017-02-03 |
1396118899 | Broward Behavioral Health and Community Services, Inc | Case Management | 1152 N University Dr, Suite 301, Pembroke Pines, FL 33024-5000 | 2015-11-05 |
1538588074 | New Broward Community Center | Case Management | 18501 Pines Blvd, Suite 106, Pembroke Pines, FL 33029-1414 | 2014-04-14 |
Find all providers in PEMBROKE PINES |
City | PEMBROKE PINES |
Zip Code | 33027 |
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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.