NPIMap

Organization Active NPI

Mind & Body Clinic Corp

  • Health Service Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1437649381
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
MA59841 Issued in FL
Legal business name
MIND & BODY CLINIC CORP
Practice address
7229 Central Ave
St Petersburg, FL 33710-7413
Phone
(727) 258-4786
NPI assigned
May 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Authorized official

Name
Mr. Carl J Rutledge, NMT, ACCUP, MSOMNPI 1003315516
Title
Owner
Phone
(704) 264-5626

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X MA59841 FL Primary

Addresses

Primary practice location

7229 Central Ave
St Petersburg, FL 33710-7413

Mailing address

7229 Central Ave
St Petersburg, FL 33710-7413
Phone (727) 258-4786

National Provider Directory

National Provider Directory

Locations

7229 Central Ave
St Petersburg, FL 33710
Phone (727) 258-4786

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": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1437649381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7229 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337107413",
            "telephone_number": "727-258-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7229 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337107413",
            "telephone_number": "727-258-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND & BODY CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-264-5626",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NMT, ACCUP, MSOM"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "MA59841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.