Mindsiite Foundation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MINDSIITE FOUNDATION

Practice address

715 E Oak St
Kissimmee, FL 34744-4580

Phone

(352) 284-4043

NPI assigned

Jan 18, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Vivian Charneco, MDNPI 1144322025

Title

President/Board Member

Phone

(352) 284-4043

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Vivian Charneco, M.D.

  • Psychiatry Physician
  • Kissimmee, FL
  • NPI 1144322025
  NPD Authorized official

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1255192050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444580",
            "telephone_number": "352-284-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSIITE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "CHARNECO",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "PRESIDENT/BOARD MEMBER",
        "authorized_official_telephone_number": "352-284-4043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Behavioral Healthcare, LLC
• Mindful Behavioral Healthcare, LLC
• Mindful Behavioral Healthcare, LLC
• Mindful Behavioral Healthcare, LLC
• Mindful Integrated Medicine LLC
• Mini Health Clinic Kissimmee LLC
• Gineira Minyety Espinosa
• Ileana Maria Miquilena Contreras
• Carlos Daniel Mirabal Diaz, RBT
• Amber Hana Mirajkar, MD

• All providers in Kissimmee, FL
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.