Laurie Mintz, PH.D., LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PY8648 Issued in FL

Legal business name

LAURIE MINTZ, PH.D., LLC

Practice address

2830 NW 41St St
Suite D
Gainesville, FL 32606-6667

Phone

(573) 808-3828

NPI assigned

Mar 9, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Laurie Mintz, PH..D.

Title

Licensed Psychologist

Phone

(573) 808-3828

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1346633864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 SW 95TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326085565",
            "telephone_number": "573-808-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 NW 41ST ST",
            "address_2": "SUITE D",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066667",
            "telephone_number": "573-808-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE MINTZ, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "MINTZ",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "573-808-3828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH..D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY8648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE PROVIDER NUMBER",
            "identifier": "599OU",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belinda Joy Lauderdale
• Maria Laughlin, MD
• Laura J. Perry LMHC PLLC
• Heather S Lauramore
• Dimitri Laurent, M.D
• Eileen Fogarty Lauzardo, M.D.
• Michael Lauzardo, MD
• Ryan Lauzardo
• Tara Christine Lavan, LCSW
• Joellen Laveigne, LMHC

• Counseling Psychologist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Counseling Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.