Mindbuilders Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

SW6832 Issued in FL

Legal business name

MINDBUILDERS INC.

Practice address

2627 NE 203Rd St
Suite 211
Aventura, FL 33180-1900

Phone

(305) 905-7177

NPI assigned

Dec 30, 2008

Last updated

Dec 30, 2008By 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

Ms. Deborah Bruno, LCSWNPI 1467552174

Title

President

Phone

(305) 905-7177

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Deborah Bruno, LCSW

  • Clinical Psychologist
  • Aventura, FL
  • NPI 1467552174
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1396981163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 NE 192ND ST",
            "address_2": "SUITE 2210",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 NE 203RD ST",
            "address_2": "SUITE 211",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801900",
            "telephone_number": "305-905-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDBUILDERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "BRUNO",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-905-7177",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "SW6832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Z011L",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jullet Miller Simpson, DNP, MSN, APRN
• Marilyn M Miller, ISW
• Mind Counseling LLC
• Mind Healing Center LLC
• Mindbody Connection
• Milfrane Miot-Aristide, ARNP
• Rafael Miret
• Natalie Mishaan, MS, RD, LD/N
• Todd Robert Mitchell, DPT
• Moises Mitrani, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.