Organization Active NPI

Mindful Psychiatry & Home Health , LLC.

  • Psychiatric/Mental Health Nurse Practitioner
  • Tamarac, FL
National Provider Identifier
1265215073
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MINDFUL PSYCHIATRY & HOME HEALTH , LLC.
Practice address
3900 W Commercial Blvd Ste 213
Tamarac, FL 33309-3328
Phone
(954) 415-3690
NPI assigned
Aug 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Josefina Dort, PMHNP-BCNPI 1932740297
Title
Aprn
Phone
(954) 415-3690

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3900 W Commercial Blvd Ste 213
Tamarac, FL 33309-3328

Mailing address

3900 W Commercial Blvd Ste 213
Tamarac, FL 33309-3328
Phone (954) 415-3690

National Provider Directory

National Provider Directory

Locations

3900 W Commercial Blvd
Ste 213
Tamarac, FL 33309
Phone (954) 415-3690

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1265215073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 W COMMERCIAL BLVD STE 213",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333093328",
            "telephone_number": "954-415-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W COMMERCIAL BLVD STE 213",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333093328",
            "telephone_number": "954-415-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL PSYCHIATRY & HOME HEALTH , LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "DORT",
        "authorized_official_first_name": "JOSEFINA",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "954-415-3690",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.