Organization Active NPI

Mindbalanced, Inc.

  • Behavioral Neurology & Neuropsychiatry Physician
  • Miami Beach, FL
National Provider Identifier
1164281002
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
Legal business name
MINDBALANCED, INC.
Practice address
1545 Jefferson Ave Apt 102
Miami Beach, FL 33139-3509
Phone
(786) 714-4811
NPI assigned
Mar 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Josh Hill
Title
President
Phone
(786) 714-4811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084B0040X Primary

Addresses

Primary practice location

1545 Jefferson Ave Apt 102
Miami Beach, FL 33139-3509

Mailing address

1601-1 N Main St Unit 3159
Jacksonville, FL 32206-7707
Phone (786) 714-4811

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1164281002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601-1 N MAIN ST UNIT 3159",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322067707",
            "telephone_number": "786-714-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 JEFFERSON AVE APT 102",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393509",
            "telephone_number": "786-714-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDBALANCED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-714-4811"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.