BLUEGREEN BEHAVIORAL HEALTH CENTER, INC (NPI# 1578924346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578924346 |
| Entity Type | Organization |
| Organization Name | BLUEGREEN BEHAVIORAL HEALTH CENTER, INC |
| Practice Address |
3900 Nw 79th Ave Suite 213 Doral FL 33166-6556 |
| Practice Telephone | 7865189231 |
| Mailing Telephone | 7865189231 |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |
| Authorized Official Name | ROBERTO LEON (PRESIDENT) |
| Authorized Official Telephone | 7865189231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | FL | Managed Care Organizations |
| Street Address |
3900 NW 79TH AVE SUITE 213 |
| City | DORAL |
| State | FL |
| Zip Code | 33166-6556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326047366 | Gemini Medical Group Corp | Clinic/Center | 3900 Nw 79th Ave, Suite 704, Doral, FL 33166-6556 | 2005-07-20 |
| 1942755723 | Caring With Love Center | Clinic/Center | 3900 Nw 79th Ave, Suite 518, Doral, FL 33166-6556 | 2016-08-22 |
| 1083066971 | Masterpiece Behavioral Services, LLC | Community/Behavioral Health | 3900 Nw 79th Ave, Suite 599, Doral, FL 33166-6556 | 2016-07-05 |
| 1780034512 | Mayda Sarazola | Behavioral Analyst | 3900 Nw 79th Ave, Doral, FL 33166-6556 | 2016-06-13 |
| 1366891335 | International Research Partners, LLC | Specialist | 3900 Nw 79th Ave, Suite 520, Doral, FL 33166-6556 | 2016-06-09 |
| 1932557741 | International Medical Practice, LLC | Clinic/Center | 3900 Nw 79th Ave, Suite # 520, Doral, FL 33166-6556 | 2016-06-02 |
| 1992152193 | Asgles Medical Center Corp | General Practice | 3900 Nw 79th Ave, 594, Doral, FL 33166-6556 | 2016-05-17 |
| 1528428372 | Health & Wellness Evolution Co. | Clinic/Center | 3900 Nw 79th Ave, 531, Doral, FL 33166-6556 | 2016-03-07 |
| 1619341674 | Bernardina Valdez | Behavioral Analyst | 3900 Nw 79th Ave, Suite 501, Doral, FL 33166-6556 | 2015-11-13 |
| 1164896106 | Jose Raba | Behavioral Analyst | 3900 Nw 79th Ave, Suite 501, Doral, FL 33166-6556 | 2015-11-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407402027 | Sfl Nutrition | Nutritionist | 3901 Nw 79th Ave. Suite 245, #312, Miami, FL 33166 | 2019-08-11 |
| 1629543590 | Rosa Alina Alayo | Nurse Practitioner | 151 Fairway Dr Unit 2308, Miami Springs, FL 33166 | 2018-10-08 |
| 1518445618 | Icare Behavior Services, LLC | Behavior Technician | 8180 Nw 36th St Ste 100l, Doral, FL 33166 | 2018-07-31 |
| 1871087684 | Yohjan Suarez-martinez | Nurse Practitioner | 6221 Nw 36 Th St, Miami, FL 33166 | 2018-06-15 |
| 1639683709 | Sonia Gloria Garcia | Nurse Practitioner | 7325 Nw 36th St, Miami, FL 33166 | 2017-11-27 |
| 1891214607 | Jose Sanchez | Early Intervention Provider Agency | 1036 Quail Ave, Miami Springs, FL 33166 | 2017-09-12 |
| 1659893022 | Yanelis Pineiro | Behavioral Analyst | 249 South Royal Poinciana Boulevard, Apto 202, Miami Springs, FL 33166 | 2017-07-07 |
| 1720509748 | Roxana Rodriguez | Behavior Technician | 8359 Nw South River Dr, Medley, FL 33166 | 2017-06-29 |
| 1457881278 | Dairene Gonzalez Ruiz | Behavior Technician | 6501 Nw 36th Street, Suite 411, Virginia Gardens, FL 33166 | 2017-06-14 |
| 1699204198 | Oz Medical Center Inc | Physical Medicine & Rehabilitation | 3900 Nw 79 Ave., Suite 815, Miami, FL 33166 | 2017-06-08 |
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| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851550297 | Casodi Professional Center Inc | Exclusive Provider Organization | 3900 Nw 79th Ave Ste 587, Doral, FL 33166-6569 | 2008-06-02 |
| 1013184712 | Charlotte A Garzon D C P A | Exclusive Provider Organization | 2406 Nw 87th Pl, Doral, FL 33172-1201 | 2008-05-12 |
| 1770034118 | Primary Care Partners LLC | Exclusive Provider Organization | 8181 Nw 36th St, Suite 23-24, Doral, FL 33166-6671 | 2016-10-20 |
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|---|---|---|---|---|
| 1730780362 | South Florida Physician Network, LLC | Exclusive Provider Organization | 5000 Sw 75th Ave Ste 202, Miami, FL 33155-4468 | 2020-11-02 |
| 1164040598 | Ito Medical, LLC | Exclusive Provider Organization | 79 Sw 12th St Apt 1511, Miami, FL 33130-5203 | 2020-07-13 |
| 1588292882 | Clarity Dx, Inc. | Exclusive Provider Organization | 1111 Latta Ln, Orlando, FL 32804-6335 | 2020-03-31 |
| 1871126102 | First Harbour Health Management, LLC | Exclusive Provider Organization | 7320 Delainey Ct, Lakewood Ranch, FL 34240-8445 | 2020-02-14 |
| 1295378271 | Community Health Services, Inc | Exclusive Provider Organization | 15315 Nw 60th Ave Ste E, Miami Lakes, FL 33014-2440 | 2019-10-23 |
| 1447808894 | Doctorology, LLC | Exclusive Provider Organization | 6440 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8003 | 2019-08-29 |
| 1851943591 | Attesor Mso LLC | Exclusive Provider Organization | 3350 Sw 148th Ave Ste 146, Miramar, FL 33027-3257 | 2019-07-12 |
| 1225690563 | Annie Saika Lucien | Exclusive Provider Organization | 2341 Nw 38th Ter, Lauderdale Lakes, FL 33311-2650 | 2019-07-08 |
| 1548728397 | Power Md Mso LLC | Exclusive Provider Organization | 4000 N 37th Ave, Hollywood, FL 33021-1927 | 2019-03-11 |
| 1023575495 | Premiermd Sim, LLC | Exclusive Provider Organization | 3465 Galt Ocean Dr Ste 203, Ft Lauderdale, FL 33308-7077 | 2019-02-21 |
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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.