Organization Active NPI

Marriage & Family Services, Inc.

  • Community/Behavioral Health Agency
  • Tampa, FL
National Provider Identifier
1003643727
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MARRIAGE & FAMILY SERVICES, INC.
Practice address
1725 W Dr Martin Luther King Jr Blvd Ste 105
Tampa, FL 33607-6507
Phone
(561) 774-8225
Fax
(561) 634-2776
NPI assigned
Sep 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric Thomas Mundt, LMFTNPI 1841478567
Title
Ceo, Clinical Director
Phone
(561) 503-3059

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1725 W Dr Martin Luther King Jr Blvd Ste 105
Tampa, FL 33607-6507

Mailing address

15204 S Jog Rd Ste 303
Delray Beach, FL 33446-2171
Phone (561) 774-8225

National Provider Directory

National Provider Directory
Tax ID family
Marriage Family Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1725 W Dr Martin Luther King Jr Blvd
Ste 105
Tampa, FL 33607
Phone (561) 774-8225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1003643727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15204 S JOG RD STE 303",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462171",
            "telephone_number": "561-774-8225",
            "fax_number": "561-634-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W DR MARTIN LUTHER KING JR BLVD STE 105",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076507",
            "telephone_number": "561-774-8225",
            "fax_number": "561-634-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRIAGE & FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "MUNDT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "561-503-3059",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.