My Mindful Maven

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MY MINDFUL MAVEN

Practice address

9707 Palma Vista Way
Boca Raton, FL 33428-3527

Phone

(754) 229-9090

NPI assigned

Jun 21, 2023

Organization subpart

No

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

Authorized official

Name

Aliza Blumenthal, LCSWNPI 1932609039

Title

LCSW

Phone

(845) 641-8838

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Aliza Blumenthal, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
  • NPI 1932609039
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1235814799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 PALMA VISTA WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283527",
            "telephone_number": "754-229-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 PALMA VISTA WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283527",
            "telephone_number": "754-229-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY MINDFUL MAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "BLUMENTHAL",
        "authorized_official_first_name": "ALIZA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "845-641-8838",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mindy Myerowitz
• Cynthia J. Myers-Rubin, LCSW. MSW.
• Barry Bruce Myers, MD
• Elisha Myers

• Mental Health Counselor in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.