PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA (NPI# 1366514705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366514705 |
| Entity Type | Organization |
| Organization Name | PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA |
| Other Organization Name | JMH COMMUNITY MENTAL HEALTH OUTPATIENT CLINICS |
| Practice Address |
1695 Nw 9th Ave Miami FL 33136-1409 |
| Mailing Address |
Po Box 12493 Miami FL 33101-2493 |
| Practice Telephone | 3053558234 |
| Practice Fax Number | 3053558235 |
| Mailing Telephone | 7864668080 |
| Mailing Fax Number | 3053552377 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2017-04-18 |
| Authorized Official Name | MR. MARK T KNIGHT (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3055857979 |
| Is Organization Subpart | Y |
| Parent Organization Name | PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities | ||
| N | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
8511 | FL | Ambulatory Health Care Facilities |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
8511 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010042128 | 05 | |
| FL | 101142128 | 05 |
| Other Name | Type Code |
|---|---|
| JMH Community Mental Health Outpatient Clinics | 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 |
1695 NW 9TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-1409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356338784 | Christopher B Benton | Specialist | 1695 Nw 9th Ave, Miami, FL 33136-1409 | 2005-09-30 |
| 1093322760 | Giselle Leal | Clinical Neuropsychologist | 1695 Nw 9th Ave, Miami, FL 33136-1409 | 2020-09-28 |
| 1336754480 | Natasha L Poulopoulos | Psychologist | 1695 Nw 9th Ave, Miami, FL 33136-1409 | 2020-09-14 |
| 1396222469 | Marcela Kitaigorodsky | Psychologist | 1695 Nw 9th Ave, Miami, FL 33136-1409 | 2018-07-23 |
| 1043712425 | Catherine De La Osa | Psychologist | 1695 Nw 9th Ave, Miami, FL 33136-1409 | 2018-03-01 |
| 1194234971 | Daema Pina | Clinical Neuropsychologist | 1695 Nw 9th Ave, Miami, FL 33136-1409 | 2017-09-25 |
| 1396295135 | Leidybeth Rodriguez | Psychologist | 1695 Nw 9th Ave, Suite 3308, Miami, FL 33136-1409 | 2016-10-05 |
| 1669835831 | Daniel Enrique Jimenez | Psychologist | 1695 Nw 9th Ave, Suite 3308, Miami, FL 33136-1409 | 2016-04-04 |
| 1508248881 | Mousa Botros | Psychiatry & Neurology | 1695 Nw 9th Ave, Miami, FL 33136-1409 | 2015-06-23 |
| 1770979734 | Jacob Harel | Student in an Organized Health Care Education/Training Program | 1695 Nw 9th Ave, Department of Psychiatry, Miami, FL 33136-1409 | 2015-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508938 | Melissa Frieder, LLC | Clinic/Center | 7001 Sw 97th Ave Ste 203, Miami, FL 33173-1407 | 2020-11-05 |
| 1053912469 | Loves Community Mental Health Inc | Clinic/Center | 2 Nw 30th Ave, Miami, FL 33125 | 2020-11-03 |
| 1437759032 | Loves Community Mental Health Inc | Clinic/Center | 3011 W Flagler St Unit A, Miami, FL 33135-1222 | 2020-11-01 |
| 1831799766 | Mindset Mental Health Services Inc | Clinic/Center | 12485 Sw 137th Ave Ste 109, Miami, FL 33186-4215 | 2020-10-29 |
| 1669089892 | Dayspring Treatment Center LLC | Clinic/Center | 240 Nw 183rd St, Miami, FL 33169-4462 | 2020-10-01 |
| 1790392892 | Salutem Medical Group, LLC | Clinic/Center | 13701 Sw 88th St Ste 306a, Miami, FL 33186-1309 | 2020-09-23 |
| 1861007346 | Deluxe Life Medical Group Corp | Clinic/Center | 4017 Sw 152nd Ave, Miami, FL 33185-5919 | 2020-09-11 |
| 1013522945 | Max Community Wellness Center Inc | Clinic/Center | 10300 Sunset Dr Ste 164, Miami, FL 33173-3002 | 2020-09-08 |
| 1275147936 | Heaven Community Mental Health, LLC | Clinic/Center | 9254 Sw 40th St, Miami, FL 33165-4151 | 2020-09-01 |
| 1861002362 | E & P Behavior Services LLC | Clinic/Center | 12039 Sw 132nd Ct Unit 4-5, Miami, FL 33186-4783 | 2020-08-09 |
| Find all providers in MIAMI | ||||
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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.