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MINDFUL BEHAVIORAL HEALTH PLLC NPI 1992133946


NPI Information

NPI: 1992133946
Provider Name: MINDFUL BEHAVIORAL HEALTH PLLC

Other Name: MINDFUL BEHAVIORAL HEALTH

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 10D2174765

Address:
2201 NW CORPORATE BLVD
SUITE 202
BOCA RATON, FL
ZIP 33431
Phone: (561) 499-6933
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MINDFUL BEHAVIORAL HEALTH PLLC is a psychiatry psychiatry neurology in Boca Raton, 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. MINDFUL BEHAVIORAL HEALTH PLLC NPI is 1992133946. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Mindful Behavioral Health.

The provider's business location address is:

2201 NW CORPORATE BLVD
SUITE 202
BOCA RATON, FL
ZIP 33431-337
Phone: (561) 499-6933
Fax: (561) 235-5172

The provider's authorized official is Ivan E Cichowicz .
The authorized official title is Medical Director and has the following contact phone number (561) 499-6933.

The CLIA number assigned to this NPI record is 10D2174765 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/29/2013 and was last updated on 3/22/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HT829AMEDICARE UPIN

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: 11/14/2023

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