Douglas Gardens CMHC – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1114991544
Mental Health Clinic/Center (Including Community Mental Health Center)
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Douglas Gardens CMHC
1960 Park Ave
Miami Beach, FL 331391922
Phone: (305) 604-3446
Fax: (305) 604-2018
Type: Location
17000 NE 21st Ave
North Miami Beach, FL 331623308
Phone: (305) 945-5340
Fax: (305) 940-5468
Type: Location
1150 NE 125th St
North Miami, FL 331615019
Phone: (305) 403-0654
Fax: (305) 403-0653
Type: Location
1680 MERIDIAN AVE STE 501
MIAMI BEACH, FL 331392719
Phone: (305) 531-5341
Fax: (305) 532-5322
Type: Mailing
1680, Meridian Avenue, Miami Beach, Miami-Dade County, Florida, 33139, United States
SUITE 501
MIAMI BEACH, FL 33139
Phone: (305) 531-5341
Fax: (305) 532-5322
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-11-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-12-31 (159 days ago).
Enrollment records
1
Earliest due date
2025-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20041102000111 | O | Clinic/Group Practice | FL | 2025-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33139)
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