125TH STREET NM CORP – NPI #1619352283
Psychiatry & Neurology

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.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

125TH STREET NM CORP is a psychiatry & neurologist located in NORTH MIAMI, FL. NPPES has assigned the NPI number 1619352283 to 125TH STREET NM CORP on July 24, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084P0802X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Addiction Psychiatry

The NPI profile was previously updated about 10 years ago on Apr 07, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 125TH STREET NM CORP below.

NPI Profile for
125TH STREET NM CORP

NPI Number
1619352283
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
125TH STREET NM CORP
Primary location
505 NE 125TH ST
NORTH MIAMI, FL 33161-4718
Phone: (954) 271-0485 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RENEE DOUTHAT
CDO
Phone: (954) 271-0485
Updated
Identifiers

Identifiers for 125TH STREET NM CORP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERACHAFLHCC8934
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0802X
- Psychiatry & Neurology / Addiction Psychiatry (Primary)
261QP2000X
- Clinic/Center / Physical Therapy		 FL PMC20
174400000X
- Specialist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.