NPIMap

Organization Active NPI

Mindful Medicine LLC

Doing business as Sanctuary Healthcare

  • Infusion Therapy Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1063170124
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
MINDFUL MEDICINE LLC
Doing business as
Sanctuary Healthcare
Practice address
7000 W Palmetto Park Rd Ste 406
Boca Raton, FL 33433-3425
Phone
(844) 986-4325
NPI assigned
Dec 6, 2021
Last updated
Dec 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Authorized official

Name
Dr. Barry David Peskin, MDNPI 1134184237
Title
Ceo/ Medical Director
Phone
(216) 973-2844

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
Infusion Therapy Clinic/Center 261QI0500X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

7000 W Palmetto Park Rd Ste 406
Boca Raton, FL 33433-3425

Mailing address

7000 W Palmetto Park Rd Ste 406
Boca Raton, FL 33433-3425
Phone (844) 986-4325

Other names 1

  • Sanctuary Healthcare Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.sanctuaryhealthcare.org Direct

National Provider Directory

National Provider Directory

Locations

7000 W Palmetto Park Rd
Ste 406
Boca Raton, FL 33433
Phone (561) 289-3421

Practitioners & affiliated clinicians

Practitioners 2

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": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1063170124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 W PALMETTO PARK RD STE 406",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333425",
            "telephone_number": "844-986-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 W PALMETTO PARK RD STE 406",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333425",
            "telephone_number": "844-986-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "PESKIN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO/ MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "216-973-2844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.sanctuaryhealthcare.org",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct patient contact",
            "address_1": "7000 W Palmetto Park Rd Ste 406",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334333425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sanctuary Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.