125TH STREET NM CORP
NPI 1619352283
Psychiatry & Neurology - Addiction Psychiatry in North Miami, FL

Active since July 24, 2015
505 NE 125TH ST, NORTH MIAMI, FL 33161(954) 271-0485 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About 125th Street Nm Corp NPPES

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

125TH STREET NM CORP (NPI 1619352283) is a healthcare organization registered as an addiction psychiatry in North Miami, Florida and active in the NPI registry since July 2015. The organization lists Renee Douthat, Cdo, as its authorized official.

NPPES Registry Identity

NPI1619352283
Entity TypeOrganization
Primary Taxonomy2084P0802X
Legal Business Name125TH STREET NM CORP
Location Address505 NE 125TH STNorth Miami, FL 33161-4718
Mailing Address505 Ne 125th StNorth Miami, FL 33161-4718 · (954) 271-0485
Organization SubpartNo
Authorized OfficialRenee DouthatCdo · (954) 271-0485
Enumeration DateJuly 24, 2015
Last NPPES UpdateApril 7, 2016
NPI 1619352283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0802X
Definition

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.

Also ListedSpecialistTaxonomy 174400000X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X · License PMC20 (FL)
505 NE 125TH ST, North Miami, FL 33161

Other Identifiers 1

OtherHCC8934FL · Acha

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
505 NE 125TH ST, SUITE A
NORTH MIAMI, FL 33161
Clinic/Center (Multi-Specialty)
505 NE 125TH ST
NORTH MIAMI, FL 33161
Counselor (Mental Health)
505 NE 125TH ST
NORTH MIAMI, FL 33161
Specialist
505 NE 125TH ST
NORTH MIAMI, FL 33161
Clinic/Center (Rehabilitation, Substance Use Disorder)
505 NE 125TH ST
NORTH MIAMI, FL 33161
Clinic/Center (Rehabilitation, Substance Use Disorder)
505 NE 125TH ST, STE. A
NORTH MIAMI, FL 33161
Physical Therapist
505 NE 125TH ST
NORTH MIAMI, FL 33161
Clinic/Center (Pain)
505 NE 125TH ST
NORTH MIAMI, FL 33161

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 125th Street Nm Corp's NPI number?

The NPI number for 125th Street Nm Corp is 1619352283. It was assigned to this organization in the NPPES registry on July 24, 2015.

Where is 125th Street Nm Corp located?

125th Street Nm Corp is located at 505 NE 125th St, North Miami, FL 33161. The listed phone number is (954) 271-0485.

What is 125th Street Nm Corp's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

When was this NPI record last updated?

The NPPES record for 125th Street Nm Corp was last updated on April 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.