Organization Active NPI

Mindful Therapist Inc

  • Clinical Social Worker
  • West Palm Beach, FL
National Provider Identifier
1376187807
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MINDFUL THERAPIST INC
Practice address
1900 S Olive Ave
West Palm Beach, FL 33401-7726
Phone
(561) 287-0942
NPI assigned
Oct 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Authorized official

Name
Ivona Bhadha
Title
LCSW/Owner
Phone
(561) 287-0942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1900 S Olive Ave
West Palm Beach, FL 33401-7726

Mailing address

2721 Misty Oaks Cir
Royal Palm Beach, FL 33411-6809
Phone (561) 287-0942

Other practice location 1

150 E Palmetto Park Rd
Boca Raton, FL 33432-4827
Phone (561) 287-0942

National Provider Directory

National Provider Directory

Locations

222 Wildermere Rd
West Palm Beach, FL 33401
Phone (561) 287-0942

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": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1376187807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 MISTY OAKS CIR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334116809",
            "telephone_number": "561-287-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S OLIVE AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334017726",
            "telephone_number": "561-287-0942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 E Palmetto Park Rd",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334324827",
            "country_code": "US",
            "telephone_number": "561-287-0942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL THERAPIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "BHADHA",
        "authorized_official_first_name": "IVONA",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "561-287-0942"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.