Organization Active NPI

Mindworks on Call

  • Community/Behavioral Health Agency
  • Clearwater, FL
National Provider Identifier
1366855587
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4899 Issued in FL
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

Updated by the provider on Jun 5, 2014

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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.