Mind Body Psychology Services LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 9109 Issued in FL

Legal business name

MIND BODY PSYCHOLOGY SERVICES LLC

Practice address

4600 Military TRL Ste 103
Jupiter, FL 33458-4811

Phone

(561) 249-7400

NPI assigned

Aug 27, 2015

Last updated

Aug 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Smalheiser, PSY.D.NPI 1023368644

Title

Clinical Psychologist

Phone

(954) 829-2975

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Beth Smalheiser, PSY.D.

  • Clinical Psychologist
  • Jupiter, FL
  • NPI 1023368644
  Authorized official Same address or phone

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1396112157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MILITARY TRL STE 103",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584811",
            "telephone_number": "561-249-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MILITARY TRL STE 103",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584811",
            "telephone_number": "561-249-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "759 SW Federal Hwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349942972",
            "country_code": "US",
            "telephone_number": "954-800-2762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND BODY PSYCHOLOGY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "SMALHEISER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "954-829-2975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 9109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jannette Mills, MD
• Aleksandar Milovanovic, MD
• Michael D Milstein, D.O.
• Sarah Milton, PTA
• Raymonde Mimy, RBT
• Briana Beth Minich, PA-C
• Minimal Invasive Surgery Center,LLC (MIS Surgery Center)
• Jenna Minni, ARNP, FNP-BC
• Lori Miranda
• Marie Miranda, PHARMD

• Clinical Psychologist in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.