Organization Active NPI

The Mental Movement LLC.

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1285306159
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE MENTAL MOVEMENT LLC.
Practice address
12760 SW 229TH Ter
Miami, FL 33170-2755
Phone
(786) 212-0289
NPI assigned
Sep 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Kala M Brown, LCSWNPI 1609248681
Title
Clinical Social Worker
Phone
(786) 212-0289

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

12760 SW 229TH Ter
Miami, FL 33170-2755

Mailing address

18591 S Dixie Hwy # 1039
Cutler Bay, FL 33157-6845
Phone (786) 212-0289

Other identifiers 1

IdentifierTypeStateIssuer
111635000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@mentalmovement.org

National Provider Directory

National Provider Directory

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": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1285306159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18591 S DIXIE HWY # 1039",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576845",
            "telephone_number": "786-212-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12760 SW 229TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331702755",
            "telephone_number": "786-212-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MENTAL MOVEMENT LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KALA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "786-212-0289",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111635000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@mentalmovement.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "18591 S Dixie Hwy # 1039",
            "city": "Cutler Bay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331576845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.