Active NPI
Body Mind Spirit Therapy Center
- Marriage & Family Therapist
- Delray Beach, FL
National Provider Identifier
1164804977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT1988
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 766173800 | Medicaid | FL |
Other names 1
- Think Sweet, Inc
National Provider Directory
National Provider DirectoryLocations
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.
-
- Marriage & Family Therapist
- Delray Beach, FL
- NPI 1437217742
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.