The Peaceful Mind Factory

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

THE PEACEFUL MIND FACTORY

Practice address

3408 W 84TH St Ste 305
Hialeah, FL 33018-4943

Phone

(786) 663-3983

Fax

(786) 803-8838

NPI assigned

Jul 15, 2019

Last updated

Jul 15, 2019By 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

Ana Maria Lopez MedranoNPI 1528599354

Title

Owner

Phone

(786) 663-3983

Specialties & licenses 4

Addresses

Tax ID family

The Peaceful Mind Factory2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Peaceful Mind Factory

  • Mental Health Counselor
  • Pembroke Pines, FL
  • NPI 1154855724
  NPD tax ID

Locations

Practitioners 3

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.

• Ana Lopez Medrano

  • Mental Health Counselor
  • Pembroke Pines, FL
  • NPI 1528599354
  NPD Authorized official
• Brianna Botteri

  • Behavior Technician
  • Hialeah, FL
  • NPI 1437757051
  NPD
• Tanya Hylton

  • Behavior Technician
  • Davie, FL
  • NPI 1215482336

  Behavior Analyst

  NPD

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1467004812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 NW 184TH WAY",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293633",
            "telephone_number": "786-663-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 W 84TH ST STE 305",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184943",
            "telephone_number": "786-663-3983",
            "fax_number": "786-803-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEACEFUL MIND FACTORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "LOPEZ MEDRANO",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-663-3983"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.