OrganizationActive
Community Behavioral Management,inc
NPI 1083966642 · Case Management Agency · Pembroke Pines, FL
Provider details
- NPI number
- 1083966642
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Lidice Carrillo, Targeted Case Manager/President(786) 230-5396
Specialties & taxonomies
Agencies
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3 Sw 129th Ave Ste 203
Pembroke Pines, FL 33027-1779
Phone: (786) 230-5396
Fax: (786) 431-1491
Street-level locationGet directions
Mailing address
9440 Nw 35th Ct
Miami, FL 33147-2730
Registry dates
- Enumerated
- 2012-10-07
- Last updated
- 2022-02-19
- Certified
- 2022-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.