Active NPI
Mended Minds Corp.
- Clinic/Center
- Weston, FL
National Provider Identifier
1225675226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MENDED MINDS CORP.
- Practice address
- 1625 N Commerce Pkwy Ste 300
Weston, FL 33326-3206 - Phone
- (954) 765-6262
- NPI assigned
- Dec 9, 2019
- Last updated
- May 12, 2020
- 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
- Hugh Bruder, PMD
- Title
- C0-Owner/Ceo
- Phone
- (954) 214-1494
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | NU | ||
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
1625 N Commerce Pkwy Ste 300
Weston, FL 33326-3206
Mailing address
2640 SW 137TH Ter
Davie, FL 33330-1132
Phone (954) 765-6262
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hugh@mended-minds.com | Direct |
National Provider Directory
National Provider DirectoryLocations
1625 N Commerce Pkwy
Ste 300
Weston, FL 33326
Phone (954) 400-9001
Practitioners & affiliated clinicians
Practitioners 2
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": "1575849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589241600000",
"number": "1225675226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 SW 137TH TER",
"city": "DAVIE",
"state": "FL",
"postal_code": "333301132",
"telephone_number": "954-765-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 N COMMERCE PKWY STE 300",
"city": "WESTON",
"state": "FL",
"postal_code": "333263206",
"telephone_number": "954-765-6262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENDED MINDS CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-09",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"status": "A",
"authorized_official_last_name": "BRUDER",
"authorized_official_first_name": "HUGH",
"authorized_official_title_or_position": "C0-OWNER/CEO",
"authorized_official_telephone_number": "954-214-1494",
"authorized_official_credential": "PMD"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hugh@mended-minds.com",
"affiliation": "N",
"endpointDescription": "secured hippa compliant email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "other",
"address_1": "1625 N Commerce Pkwy Ste 300",
"city": "Weston",
"state": "FL",
"country_code": "US",
"postal_code": "333263206",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.