LA SAGRADA FAMILIA MENTAL HEALTH
NPI 1508468869
Clinic/Center - Mental Health (Including Community Mental Health Center) in Miami, FL

Active since November 12, 2020CLIA 10D2272240 · Waiver
7270 NW 12TH ST STE 430, MIAMI, FL 33126(786) 615-2843(786) 980-1607 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 18, 2022, Aug 5, 2022, Jan 4, 2022 and 2 more (5 updates tracked since 2020).

About La Sagrada Familia Mental Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA SAGRADA FAMILIA MENTAL HEALTH (NPI 1508468869) is a healthcare organization registered as a mental health (including community mental health center) in Miami, Florida and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Ailen Cruz Bergon, President, as its authorized official.

NPPES Registry Identity

NPI1508468869
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLA SAGRADA FAMILIA MEDICAL CENTER INC
Location Address7270 NW 12TH ST STE 430Miami, FL 33126-1941
Mailing Address7270 Nw 12th St Ste 430Miami, FL 33126-1941 · (786) 615-2843 · Fax (786) 980-1607
Fax(786) 980-1607
Organization SubpartNo
Authorized OfficialAilen Cruz BergonPresident · (786) 615-2843
Enumeration DateNovember 12, 2020
Last NPPES UpdateOctober 18, 20225 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
✔ NPI 1508468869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
7270 NW 12TH ST STE 430, Miami, FL 33126

Other Names 1

Doing Business AsLa Sagrada Familia Mental Health

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Sagrada Familia Mental Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to La Sagrada Familia Mental Health, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1194262485
7921 BIRD RD STE 39
Miami, FL 33155
(786) 310-1570
✔ PECOS✔ Accepts Medicare3.4 mi
Clinical Social Worker
NPI 1447538269
4302 HOLLYWOOD BLVD # 127
Hollywood, FL 33021
(954) 505-0554
✔ PECOS✔ Accepts Medicare18 mi
Psychiatry
NPI 1003490814
110 FRONT ST
Jupiter, FL 33477
(561) 606-9778
✔ PECOS✔ Accepts Medicare81 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2272240

La Sagrada Familia Medical Center Inc · Miami, FL
Active · expires Nov 15, 2026
CLIA Number10D2272240
Laboratory TypePhysician Office
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorEdgar Gonzalez
Laboratory Phone(786) 615-2843
Laboratory LocationLa Sagrada Familia Medical Center Inc7270 NW 12th St, Ste 430, Miami, FL 33126
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Sagrada Familia Medical Center Inc's NPI number?

The NPI number for La Sagrada Familia Medical Center Inc is 1508468869. It was assigned to this organization in the NPPES registry on November 12, 2020. The provider is doing business as La Sagrada Familia Mental Health.

Where is La Sagrada Familia Medical Center Inc located?

La Sagrada Familia Medical Center Inc is located at 7270 NW 12th St Ste 430, Miami, FL 33126. The listed phone number is (786) 615-2843.

What is La Sagrada Familia Medical Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is La Sagrada Familia Medical Center Inc enrolled in Medicare?

Yes. La Sagrada Familia Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through La Sagrada Familia Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to La Sagrada Familia Medical Center Inc, in Clinical Social Worker, Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does La Sagrada Familia Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2272240) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does La Sagrada Familia Medical Center Inc accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 2 other insurers list La Sagrada Familia Medical Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for La Sagrada Familia Medical Center Inc was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.