INTEGRATED MIND MEDICINE NPI 1730575549

NPI Information

  • NPI: 1730575549
  • Provider Name: INTEGRATED MIND MEDICINE
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • Address: 1946 TYLER ST
    SUITE 14
    HOLLYWOOD, FL
    ZIP 33020
  • Phone: (754) 210-5359

Map and Directions

Get Directions

NPI Details

INTEGRATED MIND MEDICINE is a psychiatry psychiatry neurology in Hollywood, FL. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. INTEGRATED MIND MEDICINE NPI is 1730575549. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1946 TYLER ST
SUITE 14
HOLLYWOOD, FL
ZIP 33020-517
Phone: (754) 210-5359
Fax: (754) 210-5363

The provider's authorized official is Mencia Gomez .
The authorized official title is Md and has the following contact phone number (754) 210-5359.

The enumeration date for this NPI number is 4/8/2015 and was last updated on 4/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryME121955FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI