Adaptive Mind PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ADAPTIVE MIND PLLC

Practice address

700 S Rosemary Ave Ste 204
West Palm Beach, FL 33401-6310

Phone

(561) 246-5063

NPI assigned

Jan 6, 2020

Organization subpart

No

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

Authorized official

Name

Carly Lupo, LCSW, BCNNPI 1699338152

Title

Ceo

Phone

(561) 246-5063

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Carly N Lupo, LCSW

  • Clinical Social Worker
  • West Palm Beach, FL
  • NPI 1699338152
  NPD Authorized official

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1336788439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S ROSEMARY AVE STE 204",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016310",
            "telephone_number": "561-246-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S ROSEMARY AVE STE 204",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016310",
            "telephone_number": "561-246-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPTIVE MIND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "LUPO",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-246-5063",
        "authorized_official_credential": "LCSW, BCN"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103557300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Karina Adamczyk, PA-C
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• Emilie Adams, LMHC
• Lawrence Mark Adams, M.D.
• Sirrisa L Adams, CMA
• Adco South Medical Supplies Inc
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• Addiction Recovery & Counseling Corporation
• Addiction Recovery Institute of America, LLC
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• Clinical Social Worker in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.