MINDFUL BEHAVIORAL HEALTH PLLC NPI 1992133946

NPI Information

  • NPI: 1992133946
  • Provider Name: MINDFUL BEHAVIORAL HEALTH PLLC
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • Other Name: MINDFUL BEHAVIORAL HEALTH
  • CLIA Number: 10D2174765
  • Address: 2201 NW CORPORATE BLVD
    SUITE 202
    BOCA RATON, FL
    ZIP 33431
  • Phone: (561) 499-6933

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1HT829AMEDICARE UPIN

What is NPI?

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

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