Mind Fullness Therapy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MIND FULLNESS THERAPY LLC

Practice address

17690 NW 78TH Ave Ste 102
Hialeah, FL 33015-3669

Phone

(305) 967-9201

NPI assigned

Nov 19, 2020

Organization subpart

No

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

Authorized official

Name

Armando Figueredo

Title

President

Phone

(305) 967-9201

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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

• Arturo Dominguez, LMHC

  • Mental Health Counselor
  • Cutler Bay, FL
  • NPI 1922551589
  Medicare reassignment NPD
• Danka Martin Torres, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
  • NPI 1881235687

  Single Specialty

  Medicare reassignment NPD
• Yoel Mendoza Romero

  • Mental Health Counselor
  • Miami, FL
  • NPI 1417709973
  NPD (past)
• Raymond Molano, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Port St Lucie, FL
  • NPI 1417070376
  NPD (past)

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1346843596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17690 NW 78TH AVE STE 102",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17690 NW 78TH AVE STE 102",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153669",
            "telephone_number": "305-967-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND FULLNESS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "FIGUEREDO",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-967-9201"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.