Organization Active NPI

Mormindful Therapy & Psychiatry Inc

  • Multi-Specialty Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1316495211
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MORMINDFUL THERAPY & PSYCHIATRY INC
Practice address
1 W Camino Real
Boca Raton, FL 33432-5966
Phone
(954) 253-0793
NPI assigned
Sep 20, 2016
Last updated
May 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Dr. Blair H. Mor, PSY.D.NPI 1154584050
Title
President
Phone
(954) 253-0793

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1 W Camino Real
Boca Raton, FL 33432-5966

Mailing address

1 W Camino Real
Boca Raton, FL 33432-5966
Phone (954) 253-0793

Other practice location 1

1500 NW 10th Ave Ste 105
Boca Raton, FL 33486-1344
Phone (954) 253-0793

National Provider Directory

National Provider Directory

Locations

1500 NW 10th Ave
Ste 105
Boca Raton, FL 33486
Phone (561) 368-4064

5301 N Federal Hwy
Ste 270
Boca Raton, FL 33487
Phone (561) 241-6628

1 W Camino Real
Ste 100
Boca Raton, FL 33432
Phone (954) 253-0793

1 W Camino Real
Boca Raton, FL 33432
Phone (954) 253-0793

Practitioners & affiliated clinicians

Practitioners 1

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": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1316495211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W CAMINO REAL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325966",
            "telephone_number": "954-253-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W CAMINO REAL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325966",
            "telephone_number": "954-253-0793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 NW 10th Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334861344",
            "country_code": "US",
            "telephone_number": "954-253-0793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MORMINDFUL THERAPY & PSYCHIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "MOR",
        "authorized_official_first_name": "BLAIR",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-253-0793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.