125th Street Nm Corp
NPI 1619352283 · Addiction Psychiatry Physician · North Miami, FL
125th Street Nm Corp is a Addiction Psychiatry Physician organization in North Miami, FL (NPI 1619352283).
Provider details
- NPI number
- 1619352283
- Entity type
- Organization
- Primary specialty
- Addiction Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Renee Douthat, Cdo(954) 271-0485
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Specialist174400000X
Other Service Providers
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Mailing address
Registry dates
- Enumerated
- 2015-07-24
- Last updated
- 2016-04-07
Frequently asked questions
- What is 125th Street Nm Corp's NPI number?
- 125th Street Nm Corp's National Provider Identifier (NPI) is 1619352283, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 125th Street Nm Corp?
- 125th Street Nm Corp is classified in the NPPES registry as Addiction Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is 125th Street Nm Corp located?
- 125th Street Nm Corp's practice location on file with NPPES is 505 Ne 125th St, North Miami, FL 33161-4718.
- What is 125th Street Nm Corp's phone number?
- The practice phone number listed in the NPPES registry for 125th Street Nm Corp is (954) 271-0485.
- Who is the authorized official for 125th Street Nm Corp?
- The authorized official listed on 125th Street Nm Corp's NPPES record is Renee Douthat, Cdo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 125th Street Nm Corp's NPI active?
- Yes — 125th Street Nm Corp's NPI (1619352283) is active in the NPPES registry as of the last update on 2016-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.