Organization Active NPI

Mindful Eye Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1497407480
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MINDFUL EYE WELLNESS LLC
Practice address
1645 Palm Beach Lakes Blvd Ste 440
West Palm Beach, FL 33401-2217
Phone
(561) 463-4200
Fax
(561) 469-0720
NPI assigned
Jan 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Authorized official

Name
Mrs. Susan Lynch Philcox, APRN, PMHNP-BC
Title
Aprn
Phone
(561) 313-2807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1645 Palm Beach Lakes Blvd Ste 440
West Palm Beach, FL 33401-2217

Mailing address

1080 SW Fenway Rd
Port Saint Lucie, FL 34953-2303
Phone (561) 313-2807

Other names 1

  • Mindful Eye Wellness Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1497407480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 SW FENWAY RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349532303",
            "telephone_number": "561-313-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 PALM BEACH LAKES BLVD STE 440",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012217",
            "telephone_number": "561-463-4200",
            "fax_number": "561-469-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL EYE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "PHILCOX",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LYNCH",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "561-313-2807",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Eye Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mindful Eye Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.