Organization Active NPI

Body Mind Spirit Therapy Center

  • Marriage & Family Therapist
  • Delray Beach, FL
National Provider Identifier
1164804977
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT1988 Issued in FL
Legal business name
BODY MIND SPIRIT THERAPY CENTER
Practice address
1045 East Atlantic Avenue
Suite 205
Delray Beach, FL 33483
Phone
(561) 727-6858
Fax
(561) 330-4264
NPI assigned
Jun 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Authorized official

Name
Ms. Kelly Pierce Pineda, LMFT
Title
President/Director
Phone
(561) 727-6858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MT1988 FL Primary

Addresses

Primary practice location

1045 East Atlantic Avenue
Suite 205
Delray Beach, FL 33483

Mailing address

1045 East Atlantic Avenue
Suite 205
Delray Beach, FL 33483
Phone (561) 727-6858

Other identifiers 1

IdentifierTypeStateIssuer
766173800MedicaidFL

Other names 1

  • Think Sweet, Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

1045 E Atlantic Ave
Ste 205
Delray Beach, FL 33483
Phone (561) 613-5217

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1164804977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 EAST ATLANTIC AVENUE",
            "address_2": "SUITE 205",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33483",
            "telephone_number": "561-727-6858",
            "fax_number": "561-330-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 EAST ATLANTIC AVENUE",
            "address_2": "SUITE 205",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33483",
            "telephone_number": "561-727-6858",
            "fax_number": "561-330-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY MIND SPIRIT THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "PINEDA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "PIERCE",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "561-727-6858",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT1988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "766173800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Think Sweet, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.