Active NPI
Mindworks on Call
- Community/Behavioral Health Agency
- Clearwater, FL
National Provider Identifier
1366855587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 4899
- Legal business name
- MINDWORKS ON CALL
- Practice address
- 2878 Fair Green Dr
Clearwater, FL 33761-1845 - Phone
- (727) 278-8375
- NPI assigned
- Jun 5, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Renee Michaels
- Title
- Owner
- Phone
- (727) 278-8375
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 4899 | FL | Primary |
Addresses
Primary practice location
2878 Fair Green Dr
Clearwater, FL 33761-1845
Mailing address
2878 Fair Green Dr
Clearwater, FL 33761-1845
Phone (727) 278-8375
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- St Petersburg, FL
- NPI 1013008770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401926400000",
"number": "1366855587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2878 FAIR GREEN DR",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337611845",
"telephone_number": "727-278-8375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2878 FAIR GREEN DR",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337611845",
"telephone_number": "727-278-8375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDWORKS ON CALL",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-05",
"last_updated": "2014-06-05",
"status": "A",
"authorized_official_last_name": "MICHAELS",
"authorized_official_first_name": "RENEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "727-278-8375",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": "4899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.