Organization Active NPI

Cba Elite Mind & Body Care, LLC

  • Psychiatry Physician
  • Port Saint Lucie, FL
National Provider Identifier
1417898164
Registry record updated Apr 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CBA ELITE MIND & BODY CARE, LLC
Practice address
1142 SW Sudder Ave
Port Saint Lucie, FL 34953-1419
Phone
(413) 745-3149
NPI assigned
Apr 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2026

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

Authorized official

Name
Claudy Bonne Annee, MD, APRN, PMHNP-BCNPI 1982268926
Title
MD
Phone
(413) 735-3149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

1142 SW Sudder Ave
Port Saint Lucie, FL 34953-1419

Mailing address

1729 NW Saint Lucie West Blvd # 1253
Port Saint Lucie, FL 34986-2501
Phone (413) 735-3149

National Provider Directory

National Provider Directory

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": "1775260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775260800000",
    "number": "1417898164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 NW SAINT LUCIE WEST BLVD # 1253",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862501",
            "telephone_number": "413-735-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 SW SUDDER AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349531419",
            "telephone_number": "413-745-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBA ELITE MIND & BODY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-04",
        "last_updated": "2026-04-04",
        "certification_date": "2026-04-04",
        "status": "A",
        "authorized_official_last_name": "BONNE ANNEE",
        "authorized_official_first_name": "CLAUDY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "413-735-3149",
        "authorized_official_credential": "MD, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2026; 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.