Active NPI
Mindbalanced, Inc.
- Behavioral Neurology & Neuropsychiatry Physician
- Miami Beach, FL
National Provider Identifier
1164281002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavioral Neurology & Neuropsychiatry Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavioral Neurology & Neuropsychiatry Physician | 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 DirectoryNPI 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.