Provider Demographics
NPI:1720123185
Name:NEW DAY COMMUNITY MENTAL HEALTH
Entity Type:Organization
Organization Name:NEW DAY COMMUNITY MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATYA
Authorized Official - Middle Name:
Authorized Official - Last Name:TEMPRANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-545-6434
Mailing Address - Street 1:1101 SW 1ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-1010
Mailing Address - Country:US
Mailing Address - Phone:305-545-6434
Mailing Address - Fax:305-545-6454
Practice Address - Street 1:1101 SW 1ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-1010
Practice Address - Country:US
Practice Address - Phone:305-545-6434
Practice Address - Fax:305-545-6454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC6725261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL150785Medicare UPIN
FL101494Medicare Oscar/Certification