Organization Active NPI

Mindful Psychiatry and Weight Wellness

  • Psychiatry Physician
  • Gainesville, FL
National Provider Identifier
1023934924
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MINDFUL PSYCHIATRY AND WEIGHT WELLNESS
Practice address
4723 NW 53Rd Ave Ste B
Gainesville, FL 32653-4804
Phone
(352) 707-8188
Fax
(352) 743-1933
NPI assigned
Jun 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Elizabeth Goldberg, APRN
Title
Owner
Phone
(352) 494-6940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

4723 NW 53Rd Ave Ste B
Gainesville, FL 32653-4804

Mailing address

4723 NW 53Rd Ave Ste B
Gainesville, FL 32653-4804
Phone (352) 707-8188

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1023934924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4723 NW 53RD AVE STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326534804",
            "telephone_number": "352-707-8188",
            "fax_number": "352-743-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4723 NW 53RD AVE STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326534804",
            "telephone_number": "352-707-8188",
            "fax_number": "352-743-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL PSYCHIATRY AND WEIGHT WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-25",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-494-6940",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.