Mahalla V. Lenzi, Psy. D.

Primary specialty

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

License

PY3921 Issued in FL

Legal business name

MAHALLA V. LENZI, PSY. D.

Practice address

211 Colorado Ave
Ste. 6
Stuart, FL 34994-2131

Phone

(772) 220-3783

Fax

(772) 220-8211

NPI assigned

Dec 24, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Mahalla V Lenzi, PSY. D.

Title

Psychologist

Phone

(772) 220-3783

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1450915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450915200000",
    "number": "1376908988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 COLORADO AVE",
            "address_2": "STE. 6",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942131",
            "telephone_number": "772-220-3783",
            "fax_number": "772-220-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 COLORADO AVE",
            "address_2": "STE. 6",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942131",
            "telephone_number": "772-220-3783",
            "fax_number": "772-220-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHALLA V. LENZI, PSY. D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-24",
        "last_updated": "2015-12-24",
        "status": "A",
        "authorized_official_last_name": "LENZI",
        "authorized_official_first_name": "MAHALLA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "772-220-3783",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "PY3921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598814816",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Stuart, FL
• Providers in Stuart, 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 Dec 24, 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.