MLD Behavioral Health PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MLD BEHAVIORAL HEALTH PLLC

Practice address

1343 Main St Ste 706
Sarasota, FL 34236-5637

Phone

(877) 422-9355

NPI assigned

Jul 22, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Mark D'Agostino, MD

Title

Owner

Phone

(617) 785-0404

Specialties & licenses 1

Addresses

Other names 2

• MD Behavioral Health PLCC Doing business as
• MD Behavioral Health PLLC Doing business as

Locations

Practitioners 1

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

• Sara Khalid, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenwich, CT
  • NPI 1730817636
  NPD

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1396573598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 MAIN ST STE 706",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 MAIN ST STE 706",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365637",
            "telephone_number": "877-422-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLD BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "D'AGOSTINO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-785-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD Behavioral Health PLCC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MD Behavioral Health PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johnnie Lara Mitchell, ACNP-BC, RNFA
• Ronald D Mitchell Sr.
• Stephen Edward Mitteldorf, MD
• MK New Life
• Barbara Mknight, HOME HEALTH AIDE
• Mary Catherine Mlotzek, CRNA
• MMV DMD LLC
• Mo'Hyla Corporation
• Madeline Marie Mo'Hyla, D.C.
• Valerie Moberg, PA-C

• Psychiatry Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.