NPIMap

Organization Active NPI

Blue Minds LLC

  • Assistant Behavior Analyst
  • Pembroke Pines, FL
National Provider Identifier
1184289639
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
Legal business name
BLUE MINDS LLC
Practice address
15800 Pines Blvd Ste 3011
Pembroke Pines, FL 33027-1212
Phone
(786) 356-8161
NPI assigned
May 9, 2019
Last updated
Apr 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Authorized official

Name
Carolina Alay, BCABANPI 1568608164
Title
Owner
Phone
(786) 356-8161

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X Primary

Addresses

Primary practice location

15800 Pines Blvd Ste 3011
Pembroke Pines, FL 33027-1212

Mailing address

6880 SW 5TH St
Pembroke Pines, FL 33023-1171
Phone (786) 356-8161

Other names 1

  • Blue Minds LLC Other name

National Provider Directory

National Provider Directory

Locations

15800 Pines Blvd
Ste 3011
Pembroke Pines, FL 33027
Phone (786) 356-8161

Practitioners & affiliated clinicians

Practitioners 7

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": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1184289639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6880 SW 5TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330231171",
            "telephone_number": "786-356-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15800 PINES BLVD STE 3011",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271212",
            "telephone_number": "786-356-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "ALAY",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-356-8161",
        "authorized_official_credential": "BCABA"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Minds LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Blue Minds LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.