Organization Active NPI

Unclouded Mind Behavioral Health LLC

  • Clinic/Center
  • Tarpon Springs, FL
National Provider Identifier
1023725520
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
UNCLOUDED MIND BEHAVIORAL HEALTH LLC
Practice address
850 E Lime St
Tarpon Springs, FL 34689-4702
Phone
(727) 902-4952
NPI assigned
Nov 3, 2022
Last updated
Nov 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Aundrea S Guillaume-Sponsel, APRN
Title
Owner
Phone
(727) 902-4952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

850 E Lime St
Tarpon Springs, FL 34689-4702

Mailing address

PO Box 958
Tarpon Springs, FL 34688-0958
Phone (727) 902-4952

National Provider Directory

National Provider Directory

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": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1023725520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 958",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346880958",
            "telephone_number": "727-902-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E LIME ST",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346894702",
            "telephone_number": "727-902-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNCLOUDED MIND BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "GUILLAUME-SPONSEL",
        "authorized_official_first_name": "AUNDREA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-902-4952",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.